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More than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\\n\\nOur breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
\\n\\n“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
\\n\\nAdditionally, each book published by IntechOpen contains original content and research findings.
\\n\\nWe are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
\\n\\n\\n\\n
\\n"}]',published:!0,mainMedia:{caption:"IntechOpen Maintains",originalUrl:"/media/original/113"}},components:[{type:"htmlEditorComponent",content:'
Simba Information has released its Open Access Book Publishing 2020 - 2024 report and has again identified IntechOpen as the world’s largest Open Access book publisher by title count.
\n\nSimba Information is a leading provider for market intelligence and forecasts in the media and publishing industry. The report, published every year, provides an overview and financial outlook for the global professional e-book publishing market.
\n\nIntechOpen, De Gruyter, and Frontiers are the largest OA book publishers by title count, with IntechOpen coming in at first place with 5,101 OA books published, a good 1,782 titles ahead of the nearest competitor.
\n\nSince the first Open Access Book Publishing report published in 2016, IntechOpen has held the top stop each year.
\n\n\n\nMore than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\n\nOur breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
\n\n“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
\n\nAdditionally, each book published by IntechOpen contains original content and research findings.
\n\nWe are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
\n\n\n\n
\n'}],latestNews:[{slug:"intechopen-supports-asapbio-s-new-initiative-publish-your-reviews-20220729",title:"IntechOpen Supports ASAPbio’s New Initiative Publish Your Reviews"},{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"}]},book:{item:{type:"book",id:"2301",leadTitle:null,fullTitle:"Social Sciences and Cultural Studies - Issues of Language, Public Opinion, Education and Welfare",title:"Social Sciences and Cultural Studies",subtitle:"Issues of Language, Public Opinion, Education and Welfare",reviewType:"peer-reviewed",abstract:"This is a unique and groundbreaking collection of questions and answers coming from higher education institutions on diverse fields and across a wide spectrum of countries and cultures. 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\r\n\tThe global population will be nearly 10 billion by 2050, which means there will be about 2 billion more mouths to feed than in 2021. Rice is one of the most important staple foods in the world, where more than half of the population relies on it for more than 20% of their daily caloric intake. It is projected that global rice production will need to increase by 70% by 2050 to meet the food demands of the world’s growing population. Satisfying future rice demands will mainly depend on our ability to improve rice productivity rather than on the area enlargement of rice paddies because of space limitations caused by urban expansion. At the same time, we also require efforts to improve the rice quality because the demand and consumption of high-quality rice will increase as living standards improve. In addition, we urgently need to develop new technologies and strategies to overcome the constraints (e.g., climate change, soil degradation, and biodiversity loss) confronting the sustainable development of rice production. This book will aim to collect original research and review articles focused on but not limited to, the topics of rice productivity, quality, and sustainability.
",isbn:"978-1-83768-102-0",printIsbn:"978-1-83768-101-3",pdfIsbn:"978-1-83768-103-7",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!1,isSalesforceBook:!1,isNomenclature:!1,hash:"2a38bb2448f4516740db05ce746f08e3",bookSignature:"Dr. Min Huang, Dr. Jiana Chen, Dr. Xiaowu Pan and Dr. Haiming Tang",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/12157.jpg",keywords:"High-Yielding Cultivation, Intensive Cropping System, Yield Gap, Yield Potential, Grain Quality, Evaluation Methodology, Postharvest Technology, Rice Product, Climate Resilience, Environmental Impact, Resource Use Efficiency, Biodiversity",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"May 18th 2022",dateEndSecondStepPublish:"June 15th 2022",dateEndThirdStepPublish:"August 14th 2022",dateEndFourthStepPublish:"November 2nd 2022",dateEndFifthStepPublish:"January 1st 2023",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"2 months",secondStepPassed:!0,areRegistrationsClosed:!0,currentStepOfPublishingProcess:4,editedByType:null,kuFlag:!1,biosketch:"A researcher in rice and product ecophysiology, appointed professor at the Hunan Agricultural University, China. Member of The Crop Cultivation Professional Council of the Crop Science Society of China and The Council of the International Forum on Rice Development.",coeditorOneBiosketch:"A researcher in rice physiology and ecology, appointed lecturer at the Hunan Agricultural University, China.",coeditorTwoBiosketch:"A researcher in rice genetic resources was appointed the deputy director of the Key Laboratory of Indica Rice Genetics and Breeding of Hunan Province, China.",coeditorThreeBiosketch:"A researcher in farming ecology was appointed the director of the Hunan Soil and Fertilizer Research Institute, China.",coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"189829",title:"Dr.",name:"Min",middleName:null,surname:"Huang",slug:"min-huang",fullName:"Min Huang",profilePictureURL:"https://mts.intechopen.com/storage/users/189829/images/system/189829.JPG",biography:"Dr. Min Huang received his bachelor’s degree in Biological Science from Zhejiang Normal University, China in 2005, and obtained his master’s degree and Ph.D. in Crop Cultivation and Farming System from Guangxi University (GXU) and Hunan Agricultural University (HNAU), China in 2008 and 2011, respectively. 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She worked as a postdoctor in Grass Science at HNAU from 2017 to 2020, and held the position of lecturer at HNAU in 2021.",institutionString:"Hunan Agricultural University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Hunan Agricultural University",institutionURL:null,country:{name:"China"}}},coeditorTwo:{id:"460052",title:"Dr.",name:"Xiaowu",middleName:null,surname:"Pan",slug:"xiaowu-pan",fullName:"Xiaowu Pan",profilePictureURL:"https://intech-files.s3.amazonaws.com/a043Y00000vBvpbQAC/Co2_Profile_Picture__c%202022-03-10%2009%3A04%3A55.386",biography:"Dr. Xiaowu Pan received his bachelor’s degree in Biological Science from Hunan Normal University, China in 2007, got his master’s degree in Crop Genetics and Breeding from Central South University, China in 2010, and obtained his Ph.D. in Seed Science and Technology from Hunan Agricultural University, China in 2016. 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He held the positions of associate professor and professor at Hunan Soil and Fertilizer Institute, China in 2011 and 2017, respectively.",institutionString:"Soil and Fertilizer Institute of Hunan Province",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Soil and Fertilizer Institute of Hunan Province",institutionURL:null,country:{name:"China"}}},coeditorFour:null,coeditorFive:null,topics:[{id:"5",title:"Agricultural and Biological Sciences",slug:"agricultural-and-biological-sciences"}],chapters:null,productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},personalPublishingAssistant:{id:"466998",firstName:"Dragan",lastName:"Miljak",middleName:"Anton",title:"Mr.",imageUrl:"https://mts.intechopen.com/storage/users/466998/images/21564_n.jpg",email:"dragan@intechopen.com",biography:"As an Author Service Manager my responsibilities include monitoring and facilitating all publishing activities for authors and editors. 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Venkateswarlu",coverURL:"https://cdn.intechopen.com/books/images_new/371.jpg",editedByType:"Edited by",editors:[{id:"58592",title:"Dr.",name:"Arun",surname:"Shanker",slug:"arun-shanker",fullName:"Arun Shanker"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3092",title:"Anopheles mosquitoes",subtitle:"New insights into malaria vectors",isOpenForSubmission:!1,hash:"c9e622485316d5e296288bf24d2b0d64",slug:"anopheles-mosquitoes-new-insights-into-malaria-vectors",bookSignature:"Sylvie Manguin",coverURL:"https://cdn.intechopen.com/books/images_new/3092.jpg",editedByType:"Edited by",editors:[{id:"50017",title:"Prof.",name:"Sylvie",surname:"Manguin",slug:"sylvie-manguin",fullName:"Sylvie Manguin"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"72",title:"Ionic Liquids",subtitle:"Theory, Properties, New Approaches",isOpenForSubmission:!1,hash:"d94ffa3cfa10505e3b1d676d46fcd3f5",slug:"ionic-liquids-theory-properties-new-approaches",bookSignature:"Alexander Kokorin",coverURL:"https://cdn.intechopen.com/books/images_new/72.jpg",editedByType:"Edited by",editors:[{id:"19816",title:"Prof.",name:"Alexander",surname:"Kokorin",slug:"alexander-kokorin",fullName:"Alexander Kokorin"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"2270",title:"Fourier Transform",subtitle:"Materials Analysis",isOpenForSubmission:!1,hash:"5e094b066da527193e878e160b4772af",slug:"fourier-transform-materials-analysis",bookSignature:"Salih Mohammed Salih",coverURL:"https://cdn.intechopen.com/books/images_new/2270.jpg",editedByType:"Edited by",editors:[{id:"111691",title:"Dr.Ing.",name:"Salih",surname:"Salih",slug:"salih-salih",fullName:"Salih Salih"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"117",title:"Artificial Neural Networks",subtitle:"Methodological Advances and Biomedical Applications",isOpenForSubmission:!1,hash:null,slug:"artificial-neural-networks-methodological-advances-and-biomedical-applications",bookSignature:"Kenji Suzuki",coverURL:"https://cdn.intechopen.com/books/images_new/117.jpg",editedByType:"Edited by",editors:[{id:"3095",title:"Prof.",name:"Kenji",surname:"Suzuki",slug:"kenji-suzuki",fullName:"Kenji Suzuki"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},chapter:{item:{type:"chapter",id:"51163",title:"Physiotherapy Following Emergency Abdominal Surgery",doi:"10.5772/63969",slug:"physiotherapy-following-emergency-abdominal-surgery",body:'\nRecovery after abdominal surgery is multifaceted and requires input from a variety of health professionals. Recovery is not a concept that is well defined for healthcare professionals or for patients. Recovery has been previously described as a return to normality and wholeness through an energy requiring process and involves multiple domains, namely physical, physiological, psychological, social and economic [1, 2]. Physiotherapy aims to facilitate recovery from surgery by preventing or remediating post-operative complications and providing physical rehabilitation to assist a return to premorbid physical function, and whilst primarily focussing on physical rehabilitation, physiotherapy may impact on a number of the other domains. Rehabilitation commences, where possible, preoperatively and continues throughout the acute and sub-acute post-operative period and may extend beyond hospital discharge into community-based or ambulatory care to assist with a return to normal activities of daily living and function.
\nThe effectiveness of physiotherapy to prevent complications and improve recovery for patients undergoing elective abdominal surgery has been well documented over the past 20 years [3]. However, despite data showing a higher incidence of complications and poorer physical recovery for patients undergoing emergency abdominal surgery [4, 5], the benefits of physiotherapy for this patient group are yet to be reported in detail.
\nThis chapter will provide an overview of the common complications that occur following abdominal surgery including emergency surgery, specifically focussing on those that may be remediated by physiotherapy interventions. Evidence for physiotherapy interventions will be extrapolated based on both elective abdominal surgery studies and those combining elective and emergency surgical cohorts and recommendations for physiotherapy practice following emergency abdominal surgery will be presented.
\nPhysiotherapists have been involved in the routine provision of care to patients undergoing abdominal surgery since the 1950s [6, 7]. Post-operative complications are common following major upper abdominal surgery (UAS) with up to 50% of all patients having some type of complication following their surgery [8, 9]. Complications include post-operative pulmonary complications (PPCs), prolonged post-operative ileus, wound infection, haemorrhage and venothrombotic events [4]. Complications following emergency UAS are two to three times more common compared with similar elective procedures [4] with patients more susceptible to cardiopulmonary complications and sepsis [10]. These types of complications are shown to be the most frequent cause of early post-operative death and correspondingly the 30-day mortality rate is five times higher following emergency surgery compared with elective abdominal surgery [10].
\nPost-operative pulmonary complications (PPCs) are described as ‘…a pulmonary abnormality that produces identifiable disease or dysfunction, that is clinically significant and adversely affects the clinical course’ [11]. PPCs may include pneumonia, respiratory failure, atelectasis, sputum retention, pneumothorax, pleural effusion and pleural oedema [12] (see Figure 1).
\nPost-operative complications following major elective abdominal surgery [
PPCs are a major cause of morbidity and mortality and the most common complication following elective UAS with a reported incidence of up to 40% [12]. Similar incidences of PPCs have been reported following emergency UAS [5, 10, 13, 14] although variability in the definition and diagnosis of PPC affects the reliability of this data [15]. Despite the true incidence being unclear, emergency surgery is seen as an independent risk factor for PPC across all surgery types [16].
\nPPCs have significant consequences for both the patient and healthcare services. Patients have poorer outcomes and a slower recovery if they develop a PPC following abdominal surgery. Hospital costs are doubled [17], length of stay is longer by a minimum of four days [18, 19], and mortality is higher [20, 21] in those patients who are diagnosed with a PPC following elective UAS. Considering the consequences of respiratory complications, much focus has been placed on their prevention. By identifying the factors that predispose to the development of PPCs and the populations most at risk, prophylactic therapeutic interventions can be more appropriately targeted.
\nThe pathophysiological effects of abdominal surgery on the respiratory system are well known. Atelectasis [22], alterations in mucociliary transport [23], respiratory muscle dysfunction and altered chest wall mechanics [5, 22], reduced lung volumes and decreased cough strength [22] are thought to contribute to an increased risk of PPC through the combined impact of general anaesthesia, post-operative pain and immobilisation, and handling of the viscera [22].
\nThe Melbourne Group Score PPC diagnostic criteria.
Factors most highly associated with the development of PPCs for patients undergoing elective abdominal surgery include duration of anaesthesia greater than 3 hours, upper gastrointestinal surgery, a current or recently ceased smoking history, estimated VO2max below 19.37 ml/kg/min and respiratory co-morbidity [24]. Risk analysis from a recent study focussing on emergency upper and lower abdominal surgery identified age, abnormal body mass index, upper abdominal incision and multiple surgeries as predictors of PPC [5].
\nRates of PPC vary greatly depending on the diagnostic criteria used to define them, and such inconsistencies make identifying clinically significant PPCs, comparison of PPC rates and interpretation of research findings problematic. Additionally, not all clinically significant PPCs are amenable to physiotherapy interventions, for example, a pneumothorax. One diagnostic tool, the Melbourne Group Score (MGS), has recently been used to identify those PPCs considered potentially responsive to physiotherapy interventions, for example severe atelectasis and pneumonia. Whilst the measurement properties of the MGS have not yet been fully demonstrated, the tool has been shown to have excellent inter- and intrarater reliability and good clinical utility when compared to other similar diagnostic tools [25].
\nThe MGS tool is an eight-item checklist, identifying patients as having a PPC if they are positive for four of the eight criteria in a 24-hour period (see Figure 2).
\nTo date, the MGS has been used following abdominal [18, 26–28] and thoracic surgery [25, 29], and whilst further studies investigating its clinimetric properties are warranted, it currently remains the best tool for physiotherapists to determine the presence of a PPC amenable to their care.
\nProlonged bed rest is associated with an increased risk of post-operative complications after surgery. Prolonged immobility has been shown to increase the risk of venous thromboembolism [30], result in loss of muscle bulk and strength [31], increase insulin resistance [32], reduce pulmonary function and tissue oxygenation and increase levels of hospital associated depression [33]. All of these complications increase patient length of hospital stay (LOS) and, in some cases such as venous thromboembolisation and decreased pulmonary function, can threaten life. More recently, literature has clearly demonstrated an increase in the risk of severe acute weakness syndromes such as intensive care unit-acquired weakness (ICUAW) in the context of sepsis and critical illness [34]. These weakness syndromes impact patients both during their acute recovery and following discharge, with some patients experiencing ongoing weakness and functional difficulties up to two years after their ICU discharge [34].
\nDelayed ambulation has also been associated with PPCs, with an observational cohort study finding patients were three times more likely to have a PPC diagnosis for each day they did not mobilise away from the bedside [27], although it is possible that the presence of a PPC caused the delay in ambulation rather than vice versa, as a majority of PPCs are diagnosed on the first post-operative day and before to the opportunity for early ambulation. Whilst no conclusive evidence has demonstrated that delayed ambulation increases the likelihood of a PPC, it does contribute to functional decline. A randomised controlled trial found that in patients following elective abdominal surgery where mobilisation was delayed by three days, more physiotherapy input was required, and length of hospital stay was increased by 4.4 days (95%CI 0.3–8.8) compared with those who ambulated on the first post-operative day [35].
\nPost-operative ileus (POI) is a normal, transient impairment of bowel motility and is considered an inevitable consequence of abdominal surgery [36–38]. A clinically significant ileus, or prolonged ileus, is defined as lasting longer than three days [37, 39] and involves symptoms such as nausea and vomiting, inability to tolerate an oral diet, abdominal distension and delayed passage of flatus or stool [37, 38]. Prolonged ileus occurs in up to 25% of patients following major abdominal surgery, is associated with a higher risk of developing other post-operative complications and increases hospital length of stay [39]. Early ambulation is included as part of standard care guidelines and has been suggested to be influential on the timely resolution of ileus although there is currently little evidence for this [38]. Further studies are needed to test the hypothesis that early and frequent ambulation reduces ileus rates.
\nTo date, there have been limited data regarding physiotherapy interventions following emergency abdominal surgery. Physiotherapists caring for patients following emergency surgery can only base their interventions on evidence extrapolated from elective abdominal surgery and literature for critically ill patients.
\nWhilst preoperative education, inspiratory muscle training, and exercise training have been shown to significantly impact on PPCs in patients undergoing elective abdominal surgery [40–43], the nature of emergency surgery invariably renders this approach impossible in this patient group. Consequently, such patients are assumed at increased risk of post-operative complications.
\nPhysiotherapists have been involved in the routine provision of care to patients undergoing abdominal surgery under the assumption that complications can be prevented by assisted early ambulation and respiratory physiotherapy techniques such as deep breathing and coughing (DB&C) exercises [44–46]. Whilst there is little evidence demonstrating effective physiotherapy techniques specifically for the emergency UAS population, there is good quality evidence to demonstrate that physiotherapy focusing on early rehabilitation in the immediate post-operative period is both safe and effective following elective UAS, and for patients with a critical illness (including following emergency surgery) in intensive care. As such, until further evidence becomes available, evidence from both the critical illness literature and the elective abdominal surgical literature should be applied to determine appropriate and effective interventions for these patients. Therapy usually comprises of early assisted mobilisation, respiratory physiotherapy, strength and conditioning rehabilitation and education.
\nPhysiotherapy assessment occurs in the context of the patient condition, the nature and type of the surgery, the ongoing medical plan, the patient’s premorbid status and any comorbidities impacting upon post-operative rehabilitation. Level of alertness, ability to follow instructions and haemodynamic and respiratory stability will be carefully assessed before any therapeutic intervention is considered. Consensus guidelines for physiotherapy assessment and treatment have been recently published and, where higher quality evidence is absent, should be used as the primary resource for recommendations for physiotherapy practice [46].
\nEarly ambulation and rehabilitation have been extensively researched after both elective abdominal surgery and after critical illness. There is an increasingly compelling body of evidence that physical activity 1–2 times per day for up to 15–30 min is both safe and efficacious for critically ill patients [47]. Early mobilisation has been shown to decrease ICU and hospital length of stay, reduce the effect of ICUAW and improve quality of life [48]. Early mobilisation in the critically ill should be undertaken under highly controlled circumstances and such decisions are made according to individual patient status and haemodynamic stability. Evidence shows that adverse events occur in only a small number of patients (1–4%) [47, 49–52]. A recent systematic review reported no serious adverse medical consequences whilst mobilising critically ill patients in 14 of 15 trials [53].
\nEnhanced Recovery After Surgery (ERAS) protocols exist to inform peri-operative management of specific elective abdominal surgeries. Such protocols contain recommendations regarding, amongst other interventions, the importance of early ambulation after abdominal surgery, specifying the frequency and duration required to be undertaken. For example, for patients undergoing elective rectal or pelvic surgery the guidelines recommend they are nursed in an environment encouraging independence and mobilisation with two hours out of bed on the day of surgery and six hours out of bed each day thereafter [54]. A further example includes patients following elective pancreaticoduodenectomy and states such patients should be actively mobilised from the morning of the first post-operative day, with mobilisation targets to be met each day [55]. Regardless of specific protocols, there is general consensus that to counteract the deleterious effects of immobility following any abdominal surgery patients should be mobilised early and often [54–58].
\nWhilst DB&C exercises to clear secretions have previously been considered essential in physiotherapy programmes following abdominal surgery [46], there has been no convincing evidence showing them to be any more effective in reducing PPC incidence than providing frequent early intensive ambulation alone [59]. As a result, recent research has focussed on the effectiveness of providing early ambulation alone in preventing post-operative complications [46]. Following emergency UAS, some patients may be unable to ambulate due to, for example, haemodynamic instability or traumatic injury, and thus, the inclusion of DB&C should be considered to be of value after emergency UAS [46]. If sputum retention occurs post-operatively, DB&C can also be augmented using additional techniques such as positive expiratory pressure (PEP) therapies. Such devices have been purported to aid in improving lung volumes and secretion clearance although a systematic review concluded that PEP conveys no additional benefit over other respiratory techniques [60]. These findings were limited by the poor quality of studies and small samples sizes within the review. However, since this systematic review, a well-designed randomised controlled trial (RCT) has found that an oscillating PEP device reduced days of fever and LOS [61] following elective UAS and thoracic surgery. Incentive spirometries (ISs) are respiratory devices, which aim to increase inspiratory volumes. Incentive spirometry has been researched extensively, but meta-analysis of the available data has found little benefit when administered prophylactically following elective surgery [62, 63]. The benefits of PEP and IS are currently unknown in emergency surgery populations; however, considering that emergency abdominal surgery patients are at high risk of PPC and that these devices are generally low cost, on the balance of risk versus benefit, such devices should be considered as a prophylactic respiratory physiotherapy treatment in patients considered high risk for the development of a PPC.
\nTo date, the current research investigating the effectiveness of respiratory physiotherapy interventions in a population following emergency UAS is inconclusive due to limited low-quality research and poor sample sizes. In this high-risk population, it is possible that the benefit of a reduction in PPCs by the delivery of prophylactic low-cost, low-risk interventions may outweigh the high cost of PPCs to the healthcare system however further and better-quality research, including cost-benefit analyses, is required to determine this.
\nNon-invasive ventilation (NIV) in the form of either continuous positive airway pressure (CPAP) or bi-level positive airway pressure (BiPAP) reverses the known reduction in functional residual capacity (FRC) following abdominal surgery. Mechanically driven air-flow (with or without additional oxygenation) is delivered during inspiration via a sealed facemask or nasal interface until a predetermined inspiratory positive airway pressure is obtained. On expiration, positive airway pressure is maintained with the use of a positive end expiratory pressure (PEEP) valve. This positive intrathoracic pressure throughout the breath cycle increases FRC, reverses atelectasis and improves gas exchange. NIV can be used either prophylactically aiming to prevent PPC, or as a therapy to address hypoxemia and respiratory failure.
\nSystematic reviews support the use of NIV to prevent respiratory complications following abdominal surgery despite methodological limitations of the clinical trials included. The majority of trials compared NIV to usual care of oxygen therapy alone and/or respiratory physiotherapy (DB&C ± incentive spirometry/PEP) in the post-operative period. These trials demonstrate NIV may reduce PPC risk by half, with a further significant sub-group effect specifically for the prevention of pneumonia [64, 65]. Systematic reviews and meta-analyses of NIV as a treatment for respiratory failure following abdominal surgery have not yet been performed due to the lack of clinical trials on this topic. However, a recent multicentre RCT has reported that NIV as a treatment for acute hypoxemic respiratory failure following abdominal surgery prevents tracheal intubation and reduces mortality when compared to using oxygen therapy alone [66].
\nDespite evidence supporting the use of NIV as an effective therapeutic intervention to prevent PPC, the uptake in hospitals is poor. Data from an observational study at a single large tertiary metropolitan hospital investigating PPC following high-risk abdominal surgery reported that NIV was utilised in just 3% of patients [13]. A reasonable question arises; if NIV has been shown to be superior to usual care in the prevention of PPC following abdominal surgery, why is it that this therapy is not widely provided as standard care? The answer to this question is likely to be multifactorial [67]. Clinical trials have not reported widely on the rates of negative effects of NIV. Potential risks and negative factors associated with the use of NIV are patient discomfort with the sealed interface leading to non-compliance, aspiration pneumonia secondary to emesis whilst wearing the mask, gastric gas insufflation, reduced venous return and cardiac filling, failure to provide consistent therapeutic pressure with air leaks around the interface occurring especially with the presence of nasogastric tubes, and the requirement for a dedicated skilled health professional to apply, titrate and to monitor the use of NIV making it problematic to manage outside the critical care environment. It may be that a combination of these negative factors prevents a hospital from providing this efficacious preventative therapy to all patients following abdominal surgery. Additionally, the paucity of cost-benefit and risk analysis evidence for NIV versus standard care may also be a factor. The hospital and patient costs of blanket NIV application may outweigh the benefit of preventing PPC, especially if the PPC incidence rate is low. Until detailed cost-benefit analysis and adverse event rates are reported in more detail, this remains unknown. It may not be necessary or cost-effective to treat all patients with prophylactic NIV. It may be more appropriate to stratify patients into high- and low-risk groups. Simple, low-cost prophylactic measures such as self-directed DB&C exercises, IS or PEP devices may be all that is required to prevent a PPC from occurring after low-risk abdominal surgery. Selective application of NIV to patients identified as being at high risk of developing a PPC may be more appropriate [68].
\nOther factors that need further investigation is the ideal frequency and duration of NIV therapy to prevent PPC, and, whether or not delivering high-flow humidified oxygen via specialised nasal prongs is as effective and/or more cost-effective as NIV in preventing PPC following abdominal surgery. Preliminary data have shown that high-flow nasal prongs (HFNP) are comparable to NIV in the treatment of hypoxemic respiratory failure yet with better patient compliance [69]. The use of HFNP following abdominal surgery to prevent PPC may be more a more feasible option compared with NIV and should be explored further.
\nNon-invasive ventilation is a proven prophylactic intervention in the reduction in PPC and pneumonia. Despite the evidence, application on a broad-scale is poor. On the balance of available evidence, prophylactic delivery of NIV should be targeted towards all patients at high risk of developing a PPC and this includes all patients having emergency open upper abdominal surgery.
\nIn those undergoing emergency upper abdominal surgery, early mobilisation and other physiotherapy interventions may not be possible due to the increased likelihood of post-operative complications such as hypotension, post-operative bleeding and increased pain. It has been reported that following elective and emergency abdominal surgery, 52% of patients have some type of barrier to early ambulation with the most common being hypotension [13] although, where required respiratory therapies, such as DB&C, can all be applied in patients unable to mobilise unless contraindicated.
\nIn patients awaiting elective UAS, education and planning allows for some manner of psychological preparedness for surgery and what it entails. ERAS guidelines have recommendations regarding preoperative preparation of patients undergoing elective UAS with preoperative counselling recommended in all guidelines [54–58]. Emergency surgery leaves little or no time to prepare patients psychologically for the surgery or for the process of recovery after surgery. Post-operative education, detailing the rationale for respiratory care and early ambulation, is important to ensure patients are engaged in their own recovery and understand the necessity for complication prevention.
\nThe use of standardised outcome measures throughout the period of care provides a means to quantify change from baseline status and evaluate the efficacy of care. Emergency UAS dictates that premorbid status is often unknown and the impact of the surgery and subsequent rehabilitation on physical function may be unclear. Utilising standardised and repeatable outcome measures early in the post-operative period will provide a means by which changes in condition may be measured. These may include, but not be limited to respiratory, cardiovascular, musculoskeletal and neurological status. Studies investigating physiotherapy rehabilitation practices in acute surgical care commonly report LOS and post-operative complications as proxy outcome measures, but these measures have limitations when demonstrating the functional changes associated with physiotherapy interventions [70]. Outcome measures designed for the measurement of physical function in the acute care environment include, amongst others, the Physical Function ICU Test (PFIT) [71], the Acute Care Index of Function [70], Activity Measure for Post-Acute Care (AM-PAC) ‘6-Clicks’ tool [72], the Modified Iowa Level of Assistance scale (mILOA) [73] and the Functional Independence Measure (FIM) [74, 75]. No single physical therapy functional outcome measure has yet been found to be valid and reliable specifically in patients following elective or emergency UAS. However, the PFIT and Acute Care Index of Function were developed for measuring mobility in patients with critical illness and the mILOA has been shown to be reliable, valid and responsive in assessing the mobility status of acute hospital inpatients [73] and their use could be extrapolated to the emergency surgery population. Determining tools with satisfactory psychometric and clinimetric properties in patients undergoing both elective and emergency abdominal surgery warrants further investigation. Embedding outcome measures should be a matter of routine in clinical practice and research and until a specific outcome measure for physical function is tested for the emergency UAS population, the use of well-tested outcome measures from other clinical populations is required.
\nSurgical and perioperative care should strive to improve both the quantity (life expectancy) and quality of life [76]. The development of even minor post-operative complications has been demonstrated to be a major determinant of hospital readmission, long-term adverse outcomes and death [77, 78]. Complications in the immediate post-operative period have been shown to be independent predictors of poorer recovery and poor Health Related Quality of Life (HRQoL) [79, 80] with delayed recovery and persistent disability following UAS demonstrated up to 6 months post-operatively [79]. Following major intestinal surgery in elderly patients, mortality, LOS, complication rate, discharge destination and discharge home with/without help were found to be significantly better in patients undergoing electively surgery compared with the same procedures performed as an emergency. Louis et al. [81] found 69% of patients were discharged directly home after elective procedures compared with only 6.5% if the same procedure was performed as an emergency. Less than half of older adults admitted to hospital for any cause return to their premorbid function within 1 year [82]. Despite these studies, little work has been done to investigate what ongoing rehabilitation support patients require or is available following emergency abdominal surgery. Indeed, it has been argued that after emergency surgery, future studies should reconsider their focus and consider utilising long-term functional outcomes alongside more traditional outcomes such as in-hospital or 30-day mortality and morbidity [81]. It is conceivable that following abdominal surgery post-operative exercise rehabilitation programmes (both in the inpatient and outpatient environment) might hasten recovery, alter discharge destination and improve long-term outcomes.
\nWhilst caution is warranted in extrapolating data from Louis et al. [81] to patients following emergency abdominal surgery, the feasibility of inpatient rehabilitation programmes has been determined in recent studies for patients recovering from critical illness [83, 84]. In this phase of recovery, the aim of improving physical function to promote safe and timely hospital discharge is similar across populations. Beyond hospital discharge, to date only a small number of studies exist which investigate the effect of post-discharge rehabilitation programmes and none of these are solely in patients undergoing abdominal surgery [85–89]. Recently, a Cochrane systematic review [90] has examined the effect of physical rehabilitation on HRQoL and physical recovery following critical illness and ICU stay. The review included six clinical trials (483 adult ICU participants) that compared an exercise intervention after ICU discharge with any other intervention or a control/usual care programme in adult survivors of critical illness. The overall quality of the evidence precluded meta-analysis. The exercise-based interventions were delivered as inpatient programmes in two studies, as both inpatient and outpatients in one study and as outpatients in three studies. Whilst the duration of the intervention varied according to length of hospital stay following ICU discharge, it was generally for a period of 12 weeks. Outcome measures were functional exercise capacity and HRQoL but these varied in both their measurement and the tool used for measurement. Overall, the quality of the evidence was low and study findings were inconsistent; some studies reported improvements in functional exercise capacity and others not. The review found no effect on HRQoL.
\nGiven the absence of evidence investigating the effect of rehabilitation programmes on patients having undergone elective or emergency abdominal surgery, and the limitations in the evidence in a population following critical illness, further investigation of the value of post-discharge physical rehabilitation programmes is warranted.
\nPatient education regarding the necessity for physiotherapy interventions should be implemented post-operatively as soon as feasible to ensure patients are engaged in their own recovery and understand complication prevention strategies such as respiratory physiotherapy and early mobilisation.
\nMobilisation should be commenced as soon as possible to prevent complications associated with prolonged immobility.
\nEvidence for the prophylactic use of DB&C exercises, PEP or IS in patients following emergency abdominal surgery is generally of low quality and under-powered. Until further evidence is available to guide best practice, DB&C exercises should be instituted where ambulation is delayed in high-risk patients. Incentive spirometry and PEP devices can be provided prophylactically on a case-by-case basis where individual hospitals decide that the benefit of reducing PPC outweighs the cost of this service provision.
\nThere is evidence to suggest prophylactic NIV is effective in preventing PPCs following abdominal surgery. The cost-effectiveness associated with providing prophylactic NIV to all patients undergoing abdominal surgery has not been established, and thus, it is recommended that the use of post-operative NIV is restricted to those at high risk of developing a PPC.
\nFor audit, research and clinical purposes, the Melbourne Group Score should be used to diagnose PPCs that are amenable to physiotherapy intervention.
\nEvidence for post-discharge rehabilitation is lacking. In the absence of evidence, we recommend assessment of functional ability on discharge from hospital to highlight patients who may require ongoing rehabilitation.
\nComplications following emergency abdominal surgery include PPCs and the sequelae of prolonged immobility. Physiotherapy aims to remediate these problems, but to date, the effectiveness of these interventions in patients following emergency abdominal surgery has been poorly investigated. Due to paucity of published physiotherapy outcome data in this patient group, we have drawn on evidence from patients with critical illness or undergoing elective abdominal surgery to enable us to make recommendations for practice; however, we recognise the limitations with adopting this approach. The chapter has attempted to highlight the areas for further research to help determine the effectiveness of physiotherapy interventions in this high-risk patient population.
\nThere seems to be a dearth in the generation of theories in the education phenomenon despite the large volumes of educational research that scholars have produced [1, 2]. The “intellectuals” generally take recourse to technicist education, which is characterized by the overreliance on technical rationality. The practitioners consider what was discovered by renowned academics to be the effective panacea to all academic ills even in situations that are apparently diverse. There is a tendency to apply the all-size-fits-all approach. The education practitioners are thus involved in miseducative practices which make the learners unaware pawns in written theories [3]. The teacher, education practitioners, both lecturers, and mentors lack knowledge about action research to the extent that they eschew it. Consequently, they adversely affect the life-long professional development of the teacher education students. The student should learn how to acquire procedural knowledge through action research.
This chapter aims at providing insights into the precipitation of agoraphobic dispositions when teacher education students are exposed to action research. The chapter is hinged on an empirical study with some teacher education students. For the clarification of issues that are in the discourse, firstly there are explications of critical concepts. The informants’ (teacher education students’) verbatim responses are then used to substantiate some viewpoints in the discourse.
At Columbia University in the United States of America, action research was formally introduced by Stephen Cory in teacher education in the 1950s [4]. Cory as a staunch advocate of action research postulated;
We are convinced that the disposition to study … the consequences of our own teaching is more likely to change and improve our practices than is reading about what someone else has discovered of his teaching.
Cory was emphasizing on the essence of action research as far as theories can be generated by the practitioners themselves. He was encouraging the education practitioners to embrace action research as it could liberate them from the academic slavery of technical rationality and systematicity. When action research was introduced in the United States of America, it was branded to be riddled with more vices than virtues [4]. In the 1970s, there was a revival of action research and educators questioned the applicability of conventional research that was grounded in positivism in generating solutions to educational problems. Some critical education practitioners postulated that conventional research was too theoretical and too general and thus not grounded on practice [5].
The renaissance of action research in the USA came with so much vigor that it was considered to be synonymous with professional development. The importance of action research was explained;
Action research is considered a requisite for professional development. The practitioner who embarks on action research is actively involved in the creation of knowledge about how to improve practice.
Agoraphobia is an anxiety disorder that is manifested by a person in situations that are perceived to be unsafe for the well-being of that person. It develops when one thinks that the immanent situation is potentially prone to causing feelings of entrapment, helplessness, or embarrassment. In other words, agoraphobia is the fear of situations that are suspected to cause estrangement or embarrassment. The person affected will go to great lengths to avoid these situations [6, 7]. Agoraphobia is often, but not always, compounded by a fear of social embarrassment. In most cases, the person who experiences agoraphobia avoids the situations and stays in the comfort of his/her safe haven [8]. Due to agoraphobic dispositions, some people refuse to leave their old practices even when the old practices are no longer valuable because the fear of being outside of their comfort areas is too great.
Agoraphobic dispositions are habits of the mind or tendencies to be apprehensive of some situations [9]. Being habits of the mind, agoraphobic dispositions are precipitated by some experiences. Experience is the conscious involvement of a person in a situation or event which requires that one thinks, feels, does, and concludes at the time or immediately thereafter [10]. It is given meaning and value when one does some reflections, that is when one recaptures his or her experience, thinks about it, mulls it over, and evaluates. Thus an experience shapes one’s perceptions. The definition of perception is given as;
Thus, perception is the viewpoint of an individual that was developed through interaction with the environment in particular situations. Through perception, the respondent gains information about properties and elements of the situation, which are critical to his or her survival [12]. The nexus between conception and experiences conjures up praxis.
Praxis is about action informed by theory and the construction of theory from practice. The contemporary conception of praxis was developed from the conception of the ancient Greek philosophers who considered it as human action in the natural and social world [13]. Aristotle, the ancient Greek philosopher, considered praxis as transformative and emphasized on the prominence of action over thought [14, 15]. Thus, according to him, praxis is a goal-directed action. The conception has since been developed to refer to the enactment or embodiment of theory. The worthiness of the theory was determined by the extent to which it could be put into practice for the transformation of the natural and social terrain.
In the education realm, praxis is realized through the cyclical process of experiential learning that was propounded by David Kolb [16]. In other words, praxis is also considered as reflection and action focused on critical consciousness of the oppressive structures [17]. The philosophy of praxis is emancipatory since it is antithetical to one-sided counterfeit venerations of reasoning that are rampant in spheres of life like religion and intellectualism [18].
Praxis is about philosophical discourses that consider the close intertwinement of empiricism and rationalism. In other words, praxis involves knowing, acting, and reasoning [19]. In praxis, reflection is the nodal point between theory and action. Reflection makes theory valuable by enabling its contextual embodiment. On the other hand, reflection provides rationality for action. Thus in praxis, the reality is interacted with consciously with the express purpose of transforming it for the improvement of the natural and social world [20, 21].
Action research is a mode of research in the quest for the requisite attitudes, knowledge, and skills about how to improve one’s practice. The educator-researcher embarks on research to improve the self in terms of teaching skills, techniques, and strategies. The value of action research is in the change that occurs in everyday classroom practice. Action research can be viewed as a tool for classroom practice reforms [4].
Action research is defined as;
Thus action research is a requisite research strategy that should be employed by educators when they are learning to solve contextual problems in their working environments [23]. The educator develops introspection and is not susceptible to externalization of teaching-learning problems. Thus the essence of action research is to improve on own practice which is tantamount to sustainable professional development [24]. Action to improve on practice is connected to research. Thus research and action are done simultaneously [25].
The teacher education learners’ perceptions and experiences were empirically explored by employing the qualitative research approach. The focus was on the generation of verbal data, which were about the descriptions of the learners’ perceptions of and meanings that they gave to experiences with action research. Thus the paradigm that guided the empirical part of the chapter is hermeneutical phenomenology. The essence of hermeneutical phenomenology is to interpret the lived experiences of the informants [26, 27, 28, 29]. The data were generated through in-depth interviews which were carried out one-on-one with 16 teacher education learners. The informants were purposively selected after they had abandoned the action research, which they had initially chosen. The interview questions were pilot-tested on four teacher education learners who had attributes similar to the sampled learners. The data generated from the pilot test were judged to be trustworthy and then the interview questions were presented to the informants whose gender data are presented in the Table 1.
Informant | Male | Female |
---|---|---|
Informant 1 | X | |
Informant 2 | X | |
Informant 3 | X | |
Informant 4 | X | |
Informant 5 | X | |
Informant 6 | X | |
Informant 7 | X | |
Informant 8 | X | |
Informant 9 | X | |
Informant 10 | X | |
Informant 11 | X | |
Informant 12 | X | |
Informant 13 | X | |
Informant 14 | X | |
Informant 15 | X | |
Informant 16 | X |
Informants’ bio-data.
The interviews carried out were audio-taped so as not to miss any data that were generated. The data were then transcribed and analyzed by employing the thematic approach. The data were coded according to themes that were identified and scrutinized for intra-coder consistency through reflexive, critical, and rigorous thinking guided by the Johnson-Christensen method. Thus the teacher education learners’ verbatim perceptions and experiences were categorized into themes that gave meaning to the prevailing situation [30, 31, 32].
Agoraphobia is the condition where sufferers become anxious in unfamiliar situations or when they perceive that they have little knowledge about a situation is precipitated by some experiences [33]. Informant 1 met with experiences that precipitate agoraphobic dispositions. He posited:
Similar experiences were met with by informant 2 who stated:
Action research is denigrated by some education practitioners. The denigration is miseducative and causes agoraphobic dispositions toward action research. In formant 3 postulated,
The condemnation of action research was corroborated by informant 4 who posited:
Further corroborative remarks were given by informant 5 who claimed:
The stage of action research non-acceptance in education that was explained by the teacher education learners was once experienced in the USA in the 1950s. Action research was attacked as being unscientific, a bit more than common sense, and an amateur’s work [4]. The attack was exacerbated by the increased interest in positivist inquiry during that era. The academics exalted positivism to utopian levels of objectivity and verifiability. To some extent the situation experienced by the teacher education, students could be worse off since some influential education practitioners are skeptical about the essence of action research.
Action research is surrounded by skepticism since most of the teacher educators did not formally study action research but the traditional conventional research. Informant 6 explained how she developed agoraphobic dispositions towards action research;
Further remarks were given by informant 7 who asserted:
In the same line of experiences, informant 8 gave the remarks;
Some teacher educators are not well versed in both declarative and procedural knowledge about action research. Such a situation leads them to the conservatism of their traditional research orientations and vilifications of action research. Lack of adequate knowledge of academic issues evokes some agoraphobic dispositions towards that issue. The dispositions are latent in some teacher educators when they insidiously discourage teacher education students to undertake action research. Thus the action research supervisors have an influence on the perceptions and experiences of students in action research.
In academia the separation of theory from practice makes the practitioners of education lose touch with reality. Detachment from reality begets alienation which according to Marx is the estrangement of learners from their experiential realities [35] which could subsequently cause the development of agoraphobic dispositions. The panacea to alienation is praxis which is conceptualized as the action and reflection upon the world in order to transform it [17]. Thus, the theory is used in studying the word and action uses the studied ‘word’ to interact meaningfully with the world. On the other hand, interaction with the world begets the generation of the meaningful ‘word’. Thus the word-world gulf is closed by the philosophy of praxis.
Informant 9 explained some experiences that lacked praxis and were causing agoraphobic dispositions;
Praxis is regarded as the only philosophy that is based on practice [36]. It is concerned with practical reasoning which is reasoning about what should be rather than what is there in real- life experiences.
The teacher should forever be a student [17]. There should never be a time of complacency and feelings of omnipotence in education since society is never at stasis. The teacher education student should always be learning how to learn in order to be an effective educator. Learning how to learn is
Learning is a pedagogical activity that focuses on the acquisition of requisite skills, knowledge, and attitudes for sustainable interaction with the environment. Learning cannot take place without a bearing on the contextual realities of life. If there was an instrument that measures the extent of learning (learnometer) it was supposed to focus on how the acquired attributes can be put into practice. The teacher education learner shows that learning would have taken place if he or she is in a position to embody the learned theories and discover their contextual virtues and vices. This can be shown when one embarks on participatory action research, which has an emphasis on reflection-in-action and reflection-on-action.
In pedagogical situations, there are some pseudo-learning activities which among others are; memorizing, cramming, mimicking, plagiarizing, and reciting. These activities lack reflection but are often confused with the learning activity by most education practitioners and learners. Informant 10 exposed how he developed agoraphobic dispositions from colleagues who had not been exposed to
Situation bereft of context-based learning.
Agoraphobic tendencies could be precipitated when pedagogical situations are bereft of context-based learning (CBL) scenarios. The CBL scenarios are efficacious since they make references to the use of real-life examples in teaching-learning situations. Thus the learners hinge learning on their practical experiences. The efficacy of the theories that are exposed to the learners should be tested against their lived experiences. Furthermore, practical experiences should help in the development of theories [37].
Informant 11 described a situation that was bereft of contextual learning, which precipitated an agoraphobic disposition in action research;
In 1896 John Dewey, the American pedagogue philosopher experimented on the efficacy of the first laboratory school [38]. The school was the first embodiment of praxis. Dewey wanted to show the intertwinement of empiricism and rationalism in the creation of knowledge. It was Dewey’s conviction that all ideas about education should be tested empirically in the laboratory (the classroom) and reflected upon to create contextual knowledge. Dewey’s praxis orientation can be considered contemporary action research [39]. Lack of proper awareness of the essence of action research exacerbated the development of agoraphobic dispositions towards action research. Informant 12 postulated;
The laboratory school was characterized by the experimentation of teaching-learning ideas and practices. The other issue focused on by the laboratory school was the relevance of the curriculum content in solving the problems experienced by the learners and society at large [40]. Taking from Dewey’s laboratory school, contemporary teacher education should discourage the practice of traditional education that is characterized by the regurgitation of facts given by the ‘educator’ or found in textbooks or the internet. The teacher education students should be encouraged to be creators of knowledge in the ‘laboratory’ which is the classroom.
The students who were exposed to monological teaching techniques are apprehensive of challenging the status quo in the acquisition of knowledge. Researching in teacher education has become confirmatory of the hunches of the renowned “educators.” Informant 13 exclaimed:
The informant had acquired the traits of a traditional teacher. When encountered by a problem, the traditional education-oriented learner ‘researches’ from the textbooks, or the internet when instead he or she is supposed to research with the learners focusing on the context of the learners he is teaching.
The other strategy that is followed by the traditional teacher education student is absolution. The student abstains from intervening in the problem and thinks that providential intervention would bring the solution. Informant 14 postulated:
The teacher education learner in a traditional education setup is by and large exposed to the acquisition of declarative knowledge which can also be referred to as descriptive knowledge, propositional knowledge, or “know that” knowledge. This type of knowledge focuses on specific facts [41]. It is content-based and could be associated with pseudo- learning activities such as cramming and memorization. Informant 15 described an agoraphobic situation derived from considering declarative knowledge on its own;
The implication is that declarative knowledge is not adequate for teacher education which requires the learner to be an effective facilitator of learning. The worthiness of declarative knowledge is realized when it provides insights into the contextual practicing of teaching. There should be a strong bond between declarative knowledge and procedural knowledge. The dearth of knowledge from experiences or practicing begets technical rationality [42].
One who succumbs to technical rationality relies on declarative knowledge which is acquired from external and secondary sources which are among others; teachers, textbooks, or the internet. The technical rationalist learner memorizes theories that he or she can hardly actualize or authenticate their efficacy in contextual situations. Informant 16 proclaimed;
Technical rationality is embedded in logical positivism since its adherents have the view that social reality is objective, measurable, explained in rational terms, and reflected upon in professionalization to enrich scientific problem-solving abilities [43]. The approach of technical rationality to problem-solving is linear since it purports that there is a systematic application of tried and tested solutions to some professional problems [44]. Thus technical rationality is employed by established professions in solving problems by considering concrete technical knowledge [45].
Technical rationality forecloses reflection-in-action for the creation of procedural knowledge. It also pertains more to the scientific and objectifiable manner in which knowledge should be obtained while reflection-in-action correlates more to the application of action that practitioners employ within their given professions to attain knowledge [43].
Procedural knowledge is concerned with the knowledge of how to perform a specific skill. It is also known as; practical knowledge, imperative knowledge, performative knowledge, or “knowing-how” knowledge [46]. The prime activity is practicing a skill that is focused on problem-solving in particular situations. Practicing and experiencing with reflection enhance the development of effective teaching skills [47]. In the context of the teacher education student, procedural knowledge about the skill of teaching is best developed when the student is oriented in action research which promotes practical and pragmatic rationality.
The teacher education learner as a practitioner should develop both practical and pragmatic rationality. Practical rationality is the substantiation of one’s knowledge anchored on one’s reflections on own experiences. In other words, practical rationality is the intellectual capacity for resolving a problem through reflection on the actions performed [48].
Practical rationality is closely related to pragmatic rationality which is now a contemporary educational value. This rationality is antithetical to the systematicity that is inherent in traditional education [48]. It makes reference to the results that are produced out of conscious action. Pragmatic rationality requires the practitioner to actively participate in making interventions to solve a problem. Subsequently, there should be reflections on the process adopted to come up with the desired results. Pragmatic rationality is realized by reflecting in action.
Schon is credited for integrating the role of science into professional practice and education through reflection-in-action [49]. Reflection-in-action entails active, persistent, and careful consideration of any belief or supposed form of knowledge in light of the grounds that support it and the further consequences to which it leads [1].
The employment of reflection-in-action in professional practice is characterized by the practitioner’s actions that show his/her desire to learn, obtain knowledge, and understand the situation that he/she works in [44]. Thus the practitioner reflects on phenomena and considers prior interpretations of knowledge that are understood and then employs this knowledge in the operation of generating new knowledge [50]. The theoretical framework in which reflection-in-action is found is reflective practice.
Reflective practice provides the anchorage for reflecting in- and on-action when being engaged in the process of continuous learning. Thus, the continuous reflection that the practitioner does on his or her own practice promotes lifelong learning. Reflective practice involves paying critical attention to the practical values and theories which inform everyday actions, by examining practice reflectively and reflexively [51]. From the definitions above, the prime rationale for reflective practice is that experience alone does not necessarily lead to professional development but the reflection on experience. Professional development does not come about with experience but is influenced by how one reflects on experience [52].
Reflective practice can be an important tool in practice-based professional learning settings where people learn from their own professional experiences, rather than from formal learning or knowledge transfer [53]. Reflective practice is one of the most important sources of personal professional development and improvement. It is also an important way to bring together theory and practice. Through reflection a practitioner is able to see and label forms of thought and theory within the context of his or her work [54]. A practitioner who reflects throughout his or her practice does not merely review the past actions and events but makes conscious scrutiny of his or her emotions, experiences, actions, and responses to gain insights into his or her existing knowledge base so as to develop professionally [55].
The concept of reflective practice is now widely employed in the field of teacher education and teacher professional development and is the basis for many programs of initial teacher education [56]. The practitioner in education is expected to embrace reflective practice since it entails the process by which the practitioner studies his or her own teaching methods to discover the best practice of learning facilitation. It involves the consideration of the ethical consequences of classroom procedures on students [56, 57]. Reflective practice in education can be described as teacher metacognition [58].
The term reflective practice is complex since it incorporates a wide range of the practitioner’s metacognition of activities in teaching-learning situations. Teaching and learning are complex concepts, and there is no universally right approach since their effectiveness is contextual rather than global. Reflecting on different approaches to teaching, and reshaping the understanding of past and current experiences, will lead to improvement in teaching practices in particular contexts [53]. The practitioners can gain insights from Schon’s reflection-in-action since they can develop professional knowledge from their experiences in the classroom.
Reflection can be regarded as learning from experience and is paramount to the educator’s practice since it evokes awareness of being accountable. Without reflection, educators are not able to look objectively at their actions or take into account the emotions, experiences, or consequences of actions to improve their practice [59]. Through reflective practice, educators get engaged in continuous professional learning. The educators are conscientized on the essence of retrospection in their practices and reflect on how they support learners to achieve optimal learning outcomes.
Reflective practice moves teachers from their knowledge base of distinct skills to a stage in their careers where they are able to modify their skills to suit specific contexts and situations, and eventually invent new strategies [60]. Thus through reflective practice educators are able to develop themselves beyond existing theories in practice and become responsive to the dynamic environments of their day-to-day practices.
Agoraphobic dispositions in action research of the teacher education learners are precipitated by the miseducative experiences of the learners. The teacher education practitioners, the lecturers, and the mentors are the perpetrators of the miseducative experiences. They have a proclivity to traditional education, which in research emphasizes the traditional fundamental research at the expense of action research. The educators explicitly vilify action research. The learners though in the laboratory (classroom) are not encouraged to be creators of procedural knowledge. The learners are credited for exhibiting technical rationality which focuses only on the use of declarative knowledge. Instead, the learners should be encouraged to focus on practical and pragmatic rationality, which uses procedural knowledge created by them. The agoraphobic dispositions could easily be warded off when learners are exposed to
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All published Book Chapters are licensed under a Creative Commons Attribution 3.0 Unported License. Monographs are licensed under the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) license granted to all others. Our Copyright Policy aims to guarantee that original material is published while at the same time giving significant freedom to our Authors. IntechOpen upholds a flexible Copyright Policy meaning that there is no copyright transfer to the publisher and Authors hold exclusive copyright to their work.
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On September, 29th 2006 he has won a post PhD fellowship from the university of Bologna (from October 2006 to October 2008), at the competitive examination he was ranked first in the industrial engineering area. He extensively served as referee for several international journals. He is author/coauthor of more than 100 research papers. He has been involved in some projects supported by MURST and European Community. His research interests include pattern recognition, bioinformatics, and biometric systems (fingerprint classification and recognition, signature verification, face recognition).",institutionString:null,institution:null},{id:"496",title:"Dr.",name:"Carlos",middleName:null,surname:"Leon",slug:"carlos-leon",fullName:"Carlos Leon",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Seville",country:{name:"Spain"}}},{id:"512",title:"Dr.",name:"Dayang",middleName:null,surname:"Jawawi",slug:"dayang-jawawi",fullName:"Dayang Jawawi",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Technology Malaysia",country:{name:"Malaysia"}}},{id:"528",title:"Dr.",name:"Kresimir",middleName:null,surname:"Delac",slug:"kresimir-delac",fullName:"Kresimir Delac",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/528/images/system/528.jpg",biography:"K. Delac received his B.Sc.E.E. degree in 2003 and is currentlypursuing a Ph.D. degree at the University of Zagreb, Faculty of Electrical Engineering andComputing. His current research interests are digital image analysis, pattern recognition andbiometrics.",institutionString:null,institution:{name:"University of Zagreb",country:{name:"Croatia"}}},{id:"557",title:"Dr.",name:"Andon",middleName:"Venelinov",surname:"Topalov",slug:"andon-topalov",fullName:"Andon Topalov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/557/images/1927_n.jpg",biography:"Dr. Andon V. Topalov received the MSc degree in Control Engineering from the Faculty of Information Systems, Technologies, and Automation at Moscow State University of Civil Engineering (MGGU) in 1979. He then received his PhD degree in Control Engineering from the Department of Automation and Remote Control at Moscow State Mining University (MGSU), Moscow, in 1984. From 1985 to 1986, he was a Research Fellow in the Research Institute for Electronic Equipment, ZZU AD, Plovdiv, Bulgaria. In 1986, he joined the Department of Control Systems, Technical University of Sofia at the Plovdiv campus, where he is presently a Full Professor. He has held long-term visiting Professor/Scholar positions at various institutions in South Korea, Turkey, Mexico, Greece, Belgium, UK, and Germany. And he has coauthored one book and authored or coauthored more than 80 research papers in conference proceedings and journals. His current research interests are in the fields of intelligent control and robotics.",institutionString:null,institution:{name:"Technical University of Sofia",country:{name:"Bulgaria"}}},{id:"585",title:"Prof.",name:"Munir",middleName:null,surname:"Merdan",slug:"munir-merdan",fullName:"Munir Merdan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/585/images/system/585.jpg",biography:"Munir Merdan received the M.Sc. degree in mechanical engineering from the Technical University of Sarajevo, Bosnia and Herzegovina, in 2001, and the Ph.D. degree in electrical engineering from the Vienna University of Technology, Vienna, Austria, in 2009.Since 2005, he has been at the Automation and Control Institute, Vienna University of Technology, where he is currently a Senior Researcher. His research interests include the application of agent technology for achieving agile control in the manufacturing environment.",institutionString:null,institution:null},{id:"605",title:"Prof",name:"Dil",middleName:null,surname:"Hussain",slug:"dil-hussain",fullName:"Dil Hussain",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/605/images/system/605.jpg",biography:"Dr. Dil Muhammad Akbar Hussain is a professor of Electronics Engineering & Computer Science at the Department of Energy Technology, Aalborg University Denmark. Professor Akbar has a Master degree in Digital Electronics from Govt. College University, Lahore Pakistan and a P-hD degree in Control Engineering from the School of Engineering and Applied Sciences, University of Sussex United Kingdom. Aalborg University has Two Satellite Campuses, one in Copenhagen (Aalborg University Copenhagen) and the other in Esbjerg (Aalborg University Esbjerg).\n· He is a member of prestigious IEEE (Institute of Electrical and Electronics Engineers), and IAENG (International Association of Engineers) organizations. \n· He is the chief Editor of the Journal of Software Engineering.\n· He is the member of the Editorial Board of International Journal of Computer Science and Software Technology (IJCSST) and International Journal of Computer Engineering and Information Technology. \n· He is also the Editor of Communication in Computer and Information Science CCIS-20 by Springer.\n· Reviewer For Many Conferences\nHe is the lead person in making collaboration agreements between Aalborg University and many universities of Pakistan, for which the MOU’s (Memorandum of Understanding) have been signed.\nProfessor Akbar is working in Academia since 1990, he started his career as a Lab demonstrator/TA at the University of Sussex. After finishing his P. hD degree in 1992, he served in the Industry as a Scientific Officer and continued his academic career as a visiting scholar for a number of educational institutions. In 1996 he joined National University of Science & Technology Pakistan (NUST) as an Associate Professor; NUST is one of the top few universities in Pakistan. In 1999 he joined an International Company Lineo Inc, Canada as Manager Compiler Group, where he headed the group for developing Compiler Tool Chain and Porting of Operating Systems for the BLACKfin processor. The processor development was a joint venture by Intel and Analog Devices. In 2002 Lineo Inc., was taken over by another company, so he joined Aalborg University Denmark as an Assistant Professor.\nProfessor Akbar has truly a multi-disciplined career and he continued his legacy and making progress in many areas of his interests both in teaching and research. He has contributed in stochastic estimation of control area especially, in the Multiple Target Tracking and Interactive Multiple Model (IMM) research, Ball & Beam Control Problem, Robotics, Levitation Control. He has contributed in developing Algorithms for Fingerprint Matching, Computer Vision and Face Recognition. He has been supervising Pattern Recognition, Formal Languages and Distributed Processing projects for several years. He has reviewed many books on Management, Computer Science. Currently, he is an active and permanent reviewer for many international conferences and symposia and the program committee member for many international conferences.\nIn teaching he has taught the core computer science subjects like, Digital Design, Real Time Embedded System Programming, Operating Systems, Software Engineering, Data Structures, Databases, Compiler Construction. 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Among these heavy metals, a few have direct or indirect impact on the human body. Some of these heavy metals such as copper, cobalt, iron, nickel, magnesium, molybdenum, chromium, selenium, manganese and zinc have functional roles which are essential for various diverse physiological and biochemical activities in the body. However, some of these heavy metals in high doses can be harmful to the body while others such as cadmium, mercury, lead, chromium, silver, and arsenic in minute quantities have delirious effects in the body causing acute and chronic toxicities in humans. The focus of this chapter is to describe the various mechanism of intoxication of some selected heavy metals in humans along with their health effects. Therefore it aims to highlight on biochemical mechanisms of heavy metal intoxication which involves binding to proteins and enzymes, altering their activity and causing damage. 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Unachukwu",authors:[{id:"241837",title:"Mr.",name:"Godwill Azeh",middleName:null,surname:"Engwa",slug:"godwill-azeh-engwa",fullName:"Godwill Azeh Engwa"},{id:"274194",title:"BSc.",name:"Paschaline Ferdinand",middleName:null,surname:"Okeke",slug:"paschaline-ferdinand-okeke",fullName:"Paschaline Ferdinand Okeke"},{id:"286975",title:"Dr.",name:"Friday",middleName:null,surname:"Nweke Nwalo",slug:"friday-nweke-nwalo",fullName:"Friday Nweke Nwalo"},{id:"286976",title:"Dr.",name:"Marian",middleName:null,surname:"Unachukwu",slug:"marian-unachukwu",fullName:"Marian Unachukwu"}]},{id:"49459",title:"Pharmacokinetics of Drugs Following IV Bolus, IV Infusion, and Oral Administration",slug:"pharmacokinetics-of-drugs-following-iv-bolus-iv-infusion-and-oral-administration",totalDownloads:15494,totalCrossrefCites:17,totalDimensionsCites:24,abstract:null,book:{id:"4491",slug:"basic-pharmacokinetic-concepts-and-some-clinical-applications",title:"Basic Pharmacokinetic Concepts and Some Clinical Applications",fullTitle:"Basic Pharmacokinetic Concepts and Some Clinical Applications"},signatures:"Tarek A. Ahmed",authors:[{id:"175649",title:"Dr.",name:"Tarek A",middleName:null,surname:"Ahmed",slug:"tarek-a-ahmed",fullName:"Tarek A Ahmed"}]},{id:"29240",title:"Oral Absorption, Intestinal Metabolism and Human Oral Bioavailability",slug:"oral-absorption-intestinal-metabolism-and-human-oral-bioavailability-",totalDownloads:27216,totalCrossrefCites:28,totalDimensionsCites:58,abstract:null,book:{id:"672",slug:"topics-on-drug-metabolism",title:"Topics on Drug Metabolism",fullTitle:"Topics on Drug Metabolism"},signatures:"Ayman El-Kattan and Manthena Varma",authors:[{id:"85539",title:"Dr.",name:"Ayman",middleName:null,surname:"El-Kattan",slug:"ayman-el-kattan",fullName:"Ayman El-Kattan"},{id:"88221",title:"Dr.",name:"Manthena",middleName:null,surname:"Varma",slug:"manthena-varma",fullName:"Manthena Varma"}]},{id:"66259",title:"Antioxidant Compounds and Their Antioxidant Mechanism",slug:"antioxidant-compounds-and-their-antioxidant-mechanism",totalDownloads:7606,totalCrossrefCites:58,totalDimensionsCites:152,abstract:"An antioxidant is a substance that at low concentrations delays or prevents oxidation of a substrate. Antioxidant compounds act through several chemical mechanisms: hydrogen atom transfer (HAT), single electron transfer (SET), and the ability to chelate transition metals. The importance of antioxidant mechanisms is to understand the biological meaning of antioxidants, their possible uses, their production by organic synthesis or biotechnological methods, or for the standardization of the determination of antioxidant activity. In general, antioxidant molecules can react either by multiple mechanisms or by a predominant mechanism. The chemical structure of the antioxidant substance allows understanding of the antioxidant reaction mechanism. This chapter reviews the in vitro antioxidant reaction mechanisms of organic compounds polyphenols, carotenoids, and vitamins C against free radicals (FR) and prooxidant compounds under diverse conditions, as well as the most commonly used methods to evaluate the antioxidant activity of these compounds according to the mechanism involved in the reaction with free radicals and the methods of in vitro antioxidant evaluation that are used frequently depending on the reaction mechanism of the antioxidant.",book:{id:"8008",slug:"antioxidants",title:"Antioxidants",fullTitle:"Antioxidants"},signatures:"Norma Francenia Santos-Sánchez, Raúl Salas-Coronado, Claudia Villanueva-Cañongo and Beatriz Hernández-Carlos",authors:[{id:"143354",title:"Dr.",name:"Raúl",middleName:null,surname:"Salas-Coronado",slug:"raul-salas-coronado",fullName:"Raúl Salas-Coronado"},{id:"148546",title:"Dr.",name:"Norma Francenia",middleName:null,surname:"Santos-Sánchez",slug:"norma-francenia-santos-sanchez",fullName:"Norma Francenia Santos-Sánchez"},{id:"193718",title:"Dr.",name:"Beatriz",middleName:null,surname:"Hernández-Carlos",slug:"beatriz-hernandez-carlos",fullName:"Beatriz Hernández-Carlos"},{id:"278133",title:"Dr.",name:"Claudia",middleName:null,surname:"Villanueva-Cañongo",slug:"claudia-villanueva-canongo",fullName:"Claudia Villanueva-Cañongo"}]},{id:"66742",title:"Introductory Chapter: Alkaloids - Their Importance in Nature and for Human Life",slug:"introductory-chapter-alkaloids-their-importance-in-nature-and-for-human-life",totalDownloads:4142,totalCrossrefCites:16,totalDimensionsCites:32,abstract:null,book:{id:"6828",slug:"alkaloids-their-importance-in-nature-and-human-life",title:"Alkaloids",fullTitle:"Alkaloids - Their Importance in Nature and Human Life"},signatures:"Joanna Kurek",authors:[{id:"214632",title:"Dr.",name:"Joanna",middleName:null,surname:"Kurek",slug:"joanna-kurek",fullName:"Joanna Kurek"}]}],onlineFirstChaptersFilter:{topicId:"19",limit:6,offset:0},onlineFirstChaptersCollection:[{id:"83173",title:"Pain Management in the Emergency Department- Newer Modalities and Current Perspective",slug:"pain-management-in-the-emergency-department-newer-modalities-and-current-perspective",totalDownloads:1,totalDimensionsCites:null,doi:"10.5772/intechopen.105952",abstract:"Pain is one of the most common complaints and yet one of the most neglected aspects of management in the emergency department. Optimal pain management is a nuanced skill which focusses on reduction of pain to an acceptable level to allow for safe discharge and return to normal activities, in addition to improving patient satisfaction and comfort during their stay in hospital. Adequate analgesia also improves physiological parameters such as heart rate and blood pressure. The aim is improving rather than eradication of pain altogether while maintaining an acceptable level of adverse effects. This chapter will discuss assessment of pain in the emergency department along with various modalities of pain management with specific focus on newer modalities including ultrasound guided regional nerve blocks. Ultrasound guided nerve blocks are associated with better analgesia and have fewer chances of drug related adverse events, especially in older patients and those with comorbidities where large doses of systemic medications are associated with a significant risk of adverse effects.",book:{id:"10883",title:"Pain Management - From Pain Mechanisms to Patient Care",coverURL:"https://cdn.intechopen.com/books/images_new/10883.jpg"},signatures:"Sakshi Yadav, Anuj Ajayababu, Tej Prakash Sinha and Sanjeev Bhoi"},{id:"83076",title:"Treatments for the Infection by SARS-CoV-2",slug:"treatments-for-the-infection-by-sars-cov-2",totalDownloads:17,totalDimensionsCites:0,doi:"10.5772/intechopen.106232",abstract:"In late 2019, pneumonia cases from unknown origin were detected in Wuhan, China. The cause was a new coronavirus. The World Health Organization (WHO) named the virus SARS-CoV-2 and COVID-19 the associated disease. In the first months of 2020, this disease became a pandemic with a high lethality reported. Since then, the search for treatments began. We started by searching among treatments previously approved for human use that were not designed for COVID-19 and were considered to treat this condition. We continued searching on the therapeutics guidelines published by the WHO for the management of infection by SARS-CoV-2. Based on these results, we searched for the literature in PubMed to obtain further evidence on the drugs against SARS-CoV-2. The treatments presented in this chapter are Ivermectin, Hydroxychloroquine, Nitazoxanide, Azithromycin, Molnupiravir, Casirivimab-Imdevimab, Ritonavir-Nirmatrelvir, Ritonavir-Lopinavir, Remdesivir, and Favipiravir. Two years ahead of the start of the COVID-19 pandemic, a plenty of options for treatment have been investigated. Only a few of them have been shown to be efficient and safe. According to the WHO, Ritonavir-Nirmatrelvir outperforms other proposed therapeutics.",book:{id:"11690",title:"COVID-19 Drug Development - Recent Advances, New Perspectives, and Applications",coverURL:"https://cdn.intechopen.com/books/images_new/11690.jpg"},signatures:"Nicolás Padilla-Raygoza, Gilberto Flores-Vargas, María de Jesús Gallardo-Luna, Efraín Navarro-Olivos, Francisco Javier Magos-Vázquez and Daniel Alberto Díaz-Martínez"},{id:"83054",title:"Pulsatory Liposome: A Possible Biotechnological Device",slug:"pulsatory-liposome-a-possible-biotechnological-device",totalDownloads:2,totalDimensionsCites:0,doi:"10.5772/intechopen.106347",abstract:"A unilamellar liposome filled with an osmotic solution is introduced into a hypotonic aqueous environment. Because of the mechanical tension induced by the osmotic flow, the vesicle swells up to a critical size, when suddenly a transbilayer pore appears and the vesicle relaxing stage starts. A part of the intracellular material leaks out through this pore, and the liposome membrane relaxes and finally recovers. The swelling begins again and the liposome experiences a periodical process. For this reason, we have named it a pulsatory liposome. The swelling of the liposome is described by a differential equation. All the processes which contribute to the vesicle relaxing and its coming back to the initial size are described by three differential equations. The pulsatory liposome can be programmed to work a number of cycles, established before. The activity of a pulsatory liposome can be characterized by the following parameters: (a) number of cycles, the length time of each cycle, and liposome activity life; (b) the length time of the swelling stage and the relaxation stage for each cycle; (c) the amount of solute leaked out through the pore in each cycle. The pulsatory liposome may be regarded as a two-stroke engine.",book:{id:"11814",title:"Liposomes - Recent Advances, New Perspectives and Applications",coverURL:"https://cdn.intechopen.com/books/images_new/11814.jpg"},signatures:"Dumitru Popescu and Alin Gabriel Popescu"},{id:"82962",title:"Pluralism Medical Treatment, Prevention, and Control of COVID-19 Infection and Its Long-Sufferings among the Older Adults in the Northeast of Thailand from 2019 to 2022",slug:"pluralism-medical-treatment-prevention-and-control-of-covid-19-infection-and-its-long-sufferings-amo",totalDownloads:51,totalDimensionsCites:0,doi:"10.5772/intechopen.106339",abstract:"COVID-19 in 2019 has brought both changes and challenges to the world. This global pandemic has an impact on people of all age levels, especially older adults. In Thailand, older persons are at high risk of COVID-19 infection. They are included in the so-called 608 groups. The objective of this review article was to synthesize and present medical pluralism, the development of drugs from herbs, and projects conducted to treat, prevent, and control the infection and long sufferings of COVID-19. The review covers 10 studies, three projects produced at Mahasarakham University, Chaiyaphum Rajabhat University, and Khon Kaen University that were reviewed, synthesized, and analyzed. The results of the synthesis indicate that modern and Thai traditional medicine can help reduce the severity of the infection and long sufferings of COVID-19. The medical pluralism between modern and Thai traditional medicine is needed to remedy COVID-19 cases among the older adults in the Northeast of Thailand.",book:{id:"11690",title:"COVID-19 Drug Development - Recent Advances, New Perspectives, and Applications",coverURL:"https://cdn.intechopen.com/books/images_new/11690.jpg"},signatures:"Pissamai Homchampa, Khemika Napattaradechanon, Parichat Yatniyom, Thawalrat Ratanasiri, Piyaporn Sansila, Thanawan Sirisuk, Thawalwong Ratanasiri and Amornrat Ratanasiri"},{id:"82353",title:"Pharmacovigilance of Biological Drugs",slug:"pharmacovigilance-of-biological-drugs",totalDownloads:8,totalDimensionsCites:0,doi:"10.5772/intechopen.105520",abstract:"The use of biological drugs has significantly increased over the past decades and has allowed for the treatment of many life-threatening and chronic diseases. The patent expiration of biological innovative medicines enables copies of these drugs called biosimilars. The availability of biosimilars enhances competition, with the potential to improve patient access to biological medications and contribute to the financial sustainability of the healthcare systems. Unlike equivalent drugs, biosimilars are not identical but similar to their innovator products because of the differences in the manufacturing process, which is a biological process. However, they are considered comparable to their originators in safety, quality characteristics, biological activity, and efficacy. The regulatory procedures used for generic drugs cannot be applied for biosimilars, so they are subjected to rigorous characterization as well as comparative clinical studies. Since they are highly complex molecules produced from living cells, even small change in the production process can have major implications on their safety and effectiveness profile, causing a potential risk of immune-based adverse reactions. For all these reasons, for biological drugs, a robust long-term pharmacovigilance system is necessary. It is desirable that in the future, there are further guidance and resolution of the ongoing discussions on biosimilar labeling, naming, pharmacovigilance and interchangeability/substitution, to ensure the appropriate use of these drugs in clinical practice.",book:{id:"11679",title:"Pharmacovigilance and Regulations",coverURL:"https://cdn.intechopen.com/books/images_new/11679.jpg"},signatures:"Simona Guerzoni, Flavia Lo Castro, Carlo Baraldi, Giuliana Colella and Luca Pani"},{id:"82868",title:"Recent Strategies for Ocular Drug Delivery: Promises and Challenges",slug:"recent-strategies-for-ocular-drug-delivery-promises-and-challenges",totalDownloads:9,totalDimensionsCites:0,doi:"10.5772/intechopen.106335",abstract:"Ocular diseases include various anterior and posterior segment diseases. Due to the unique anatomy and physiology of the eye, efficient ocular drug delivery is a great challenge to researchers. The emerging nanoscience is playing an important role in the development of novel strategies for ocular disease management. Various active molecules have been designed to associate with nanocarriers to overcome ocular barriers and interact with certain ocular tissues. In this chapter, highlights will be made on barrier to intraocular delivery, general pathways for ocular absorption, and factors affecting intraocular bioavailability. The recent attempts of nanotechnology for treating anterior and posterior ocular diseases will be explored. This will include nanomicelles, nanoparticles, nanosuspensions, vesicular systems, in situ gel, dendrimers, contact lenses, implants, microneedles, and cell-based delivery systems. In addition, gene-based ocular delivery systems will be discussed. In this chapter, we will also provide a comprehensive overview of drug-device combinations used for ocular diseases such as glaucoma, dry eye disease, infections, and inflammations. Furthermore, drug delivery devices for ocular surgeries are discussed. Finally, challenges and future prospective of ocular delivery systems will be explored.",book:{id:"11688",title:"Advances in Drug Delivery Methods",coverURL:"https://cdn.intechopen.com/books/images_new/11688.jpg"},signatures:"Amal H. El-Kamel and Asmaa A. Ashour"}],onlineFirstChaptersTotal:55},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:11,numberOfPublishedChapters:91,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:108,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:33,numberOfPublishedChapters:333,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:14,numberOfPublishedChapters:145,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:11,numberOfPublishedChapters:144,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:126,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:23,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:13,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:"2753-6580",doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}},{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}}]},series:{item:{id:"14",title:"Artificial Intelligence",doi:"10.5772/intechopen.79920",issn:"2633-1403",scope:"Artificial Intelligence (AI) is a rapidly developing multidisciplinary research area that aims to solve increasingly complex problems. In today's highly integrated world, AI promises to become a robust and powerful means for obtaining solutions to previously unsolvable problems. This Series is intended for researchers and students alike interested in this fascinating field and its many applications.",coverUrl:"https://cdn.intechopen.com/series/covers/14.jpg",latestPublicationDate:"August 17th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:11,editor:{id:"218714",title:"Prof.",name:"Andries",middleName:null,surname:"Engelbrecht",slug:"andries-engelbrecht",fullName:"Andries Engelbrecht",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRNR8QAO/Profile_Picture_1622640468300",biography:"Andries Engelbrecht received the Masters and PhD degrees in Computer Science from the University of Stellenbosch, South Africa, in 1994 and 1999 respectively. He is currently appointed as the Voigt Chair in Data Science in the Department of Industrial Engineering, with a joint appointment as Professor in the Computer Science Division, Stellenbosch University. Prior to his appointment at Stellenbosch University, he has been at the University of Pretoria, Department of Computer Science (1998-2018), where he was appointed as South Africa Research Chair in Artifical Intelligence (2007-2018), the head of the Department of Computer Science (2008-2017), and Director of the Institute for Big Data and Data Science (2017-2018). In addition to a number of research articles, he has written two books, Computational Intelligence: An Introduction and Fundamentals of Computational Swarm Intelligence.",institutionString:null,institution:{name:"Stellenbosch University",institutionURL:null,country:{name:"South Africa"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:6,paginationItems:[{id:"22",title:"Applied Intelligence",coverUrl:"https://cdn.intechopen.com/series_topics/covers/22.jpg",isOpenForSubmission:!0,editor:{id:"27170",title:"Prof.",name:"Carlos",middleName:"M.",surname:"Travieso-Gonzalez",slug:"carlos-travieso-gonzalez",fullName:"Carlos Travieso-Gonzalez",profilePictureURL:"https://mts.intechopen.com/storage/users/27170/images/system/27170.jpeg",biography:"Carlos M. Travieso-González received his MSc degree in Telecommunication Engineering at Polytechnic University of Catalonia (UPC), Spain in 1997, and his Ph.D. degree in 2002 at the University of Las Palmas de Gran Canaria (ULPGC-Spain). He is a full professor of signal processing and pattern recognition and is head of the Signals and Communications Department at ULPGC, teaching from 2001 on subjects on signal processing and learning theory. His research lines are biometrics, biomedical signals and images, data mining, classification system, signal and image processing, machine learning, and environmental intelligence. He has researched in 52 international and Spanish research projects, some of them as head researcher. He is co-author of 4 books, co-editor of 27 proceedings books, guest editor for 8 JCR-ISI international journals, and up to 24 book chapters. He has over 450 papers published in international journals and conferences (81 of them indexed on JCR – ISI - Web of Science). He has published seven patents in the Spanish Patent and Trademark Office. He has been a supervisor on 8 Ph.D. theses (11 more are under supervision), and 130 master theses. He is the founder of The IEEE IWOBI conference series and the president of its Steering Committee, as well as the founder of both the InnoEducaTIC and APPIS conference series. He is an evaluator of project proposals for the European Union (H2020), Medical Research Council (MRC, UK), Spanish Government (ANECA, Spain), Research National Agency (ANR, France), DAAD (Germany), Argentinian Government, and the Colombian Institutions. He has been a reviewer in different indexed international journals (<70) and conferences (<250) since 2001. He has been a member of the IASTED Technical Committee on Image Processing from 2007 and a member of the IASTED Technical Committee on Artificial Intelligence and Expert Systems from 2011. \n\nHe has held the general chair position for the following: ACM-APPIS (2020, 2021), IEEE-IWOBI (2019, 2020 and 2020), A PPIS (2018, 2019), IEEE-IWOBI (2014, 2015, 2017, 2018), InnoEducaTIC (2014, 2017), IEEE-INES (2013), NoLISP (2011), JRBP (2012), and IEEE-ICCST (2005)\n\nHe is an associate editor of the Computational Intelligence and Neuroscience Journal (Hindawi – Q2 JCR-ISI). He was vice dean from 2004 to 2010 in the Higher Technical School of Telecommunication Engineers at ULPGC and the vice dean of Graduate and Postgraduate Studies from March 2013 to November 2017. He won the “Catedra Telefonica” Awards in Modality of Knowledge Transfer, 2017, 2018, and 2019 editions, and awards in Modality of COVID Research in 2020.\n\nPublic References:\nResearcher ID http://www.researcherid.com/rid/N-5967-2014\nORCID https://orcid.org/0000-0002-4621-2768 \nScopus Author ID https://www.scopus.com/authid/detail.uri?authorId=6602376272\nScholar Google https://scholar.google.es/citations?user=G1ks9nIAAAAJ&hl=en \nResearchGate https://www.researchgate.net/profile/Carlos_Travieso",institutionString:null,institution:{name:"University of Las Palmas de Gran Canaria",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"23",title:"Computational Neuroscience",coverUrl:"https://cdn.intechopen.com/series_topics/covers/23.jpg",isOpenForSubmission:!0,editor:{id:"14004",title:"Dr.",name:"Magnus",middleName:null,surname:"Johnsson",slug:"magnus-johnsson",fullName:"Magnus Johnsson",profilePictureURL:"https://mts.intechopen.com/storage/users/14004/images/system/14004.png",biography:"Dr Magnus Johnsson is a cross-disciplinary scientist, lecturer, scientific editor and AI/machine learning consultant from Sweden. \n\nHe is currently at Malmö University in Sweden, but also held positions at Lund University in Sweden and at Moscow Engineering Physics Institute. \nHe holds editorial positions at several international scientific journals and has served as a scientific editor for books and special journal issues. \nHis research interests are wide and include, but are not limited to, autonomous systems, computer modeling, artificial neural networks, artificial intelligence, cognitive neuroscience, cognitive robotics, cognitive architectures, cognitive aids and the philosophy of mind. \n\nDr. Johnsson has experience from working in the industry and he has a keen interest in the application of neural networks and artificial intelligence to fields like industry, finance, and medicine. \n\nWeb page: www.magnusjohnsson.se",institutionString:null,institution:{name:"Malmö University",institutionURL:null,country:{name:"Sweden"}}},editorTwo:null,editorThree:null},{id:"24",title:"Computer Vision",coverUrl:"https://cdn.intechopen.com/series_topics/covers/24.jpg",isOpenForSubmission:!0,editor:{id:"294154",title:"Prof.",name:"George",middleName:null,surname:"Papakostas",slug:"george-papakostas",fullName:"George Papakostas",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002hYaGbQAK/Profile_Picture_1624519712088",biography:"George A. Papakostas has received a diploma in Electrical and Computer Engineering in 1999 and the M.Sc. and Ph.D. degrees in Electrical and Computer Engineering in 2002 and 2007, respectively, from the Democritus University of Thrace (DUTH), Greece. Dr. Papakostas serves as a Tenured Full Professor at the Department of Computer Science, International Hellenic University, Greece. Dr. Papakostas has 10 years of experience in large-scale systems design as a senior software engineer and technical manager, and 20 years of research experience in the field of Artificial Intelligence. Currently, he is the Head of the “Visual Computing” division of HUman-MAchines INteraction Laboratory (HUMAIN-Lab) and the Director of the MPhil program “Advanced Technologies in Informatics and Computers” hosted by the Department of Computer Science, International Hellenic University. He has (co)authored more than 150 publications in indexed journals, international conferences and book chapters, 1 book (in Greek), 3 edited books, and 5 journal special issues. His publications have more than 2100 citations with h-index 27 (GoogleScholar). His research interests include computer/machine vision, machine learning, pattern recognition, computational intelligence. \nDr. Papakostas served as a reviewer in numerous journals, as a program\ncommittee member in international conferences and he is a member of the IAENG, MIR Labs, EUCogIII, INSTICC and the Technical Chamber of Greece (TEE).",institutionString:null,institution:{name:"International Hellenic University",institutionURL:null,country:{name:"Greece"}}},editorTwo:null,editorThree:null},{id:"25",title:"Evolutionary Computation",coverUrl:"https://cdn.intechopen.com/series_topics/covers/25.jpg",isOpenForSubmission:!0,editor:{id:"136112",title:"Dr.",name:"Sebastian",middleName:null,surname:"Ventura Soto",slug:"sebastian-ventura-soto",fullName:"Sebastian Ventura Soto",profilePictureURL:"https://mts.intechopen.com/storage/users/136112/images/system/136112.png",biography:"Sebastian Ventura is a Spanish researcher, a full professor with the Department of Computer Science and Numerical Analysis, University of Córdoba. Dr Ventura also holds the positions of Affiliated Professor at Virginia Commonwealth University (Richmond, USA) and Distinguished Adjunct Professor at King Abdulaziz University (Jeddah, Saudi Arabia). Additionally, he is deputy director of the Andalusian Research Institute in Data Science and Computational Intelligence (DaSCI) and heads the Knowledge Discovery and Intelligent Systems Research Laboratory. He has published more than ten books and over 300 articles in journals and scientific conferences. Currently, his work has received over 18,000 citations according to Google Scholar, including more than 2200 citations in 2020. 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Saxena",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRET3QAO/Profile_Picture_2022-05-10T10:10:26.jpeg",institutionString:"King George's Medical University",institution:{name:"King George's Medical University",institutionURL:null,country:{name:"India"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null}]},subseriesFiltersForPublishedBooks:[{group:"subseries",caption:"Bacterial Infectious Diseases",value:3,count:2},{group:"subseries",caption:"Parasitic Infectious Diseases",value:5,count:4},{group:"subseries",caption:"Viral Infectious Diseases",value:6,count:7}],publicationYearFilters:[{group:"publicationYear",caption:"2022",value:2022,count:2},{group:"publicationYear",caption:"2021",value:2021,count:4},{group:"publicationYear",caption:"2020",value:2020,count:3},{group:"publicationYear",caption:"2019",value:2019,count:3},{group:"publicationYear",caption:"2018",value:2018,count:1}],authors:{paginationCount:189,paginationItems:[{id:"221831",title:"Prof.",name:"Niansheng",middleName:null,surname:"Tang",slug:"niansheng-tang",fullName:"Niansheng Tang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/221831/images/system/221831.jpeg",biography:"Niansheng Tang is a Professor of Statistics and Dean of the School of Mathematics and Statistics, Yunnan University, China. He was elected a Yangtze River Scholars Distinguished Professor in 2013, a member of the International Statistical Institute (ISI) in 2016, a member of the board of the International Chinese Statistical Association (ICSA) in 2018, and a fellow of the Institute of Mathematical Statistics (IMS) in 2021. He received the ICSA Outstanding Service Award in 2018 and the National Science Foundation for Distinguished Young Scholars of China in 2012. He serves as a member of the editorial board of Statistics and Its Interface and Journal of Systems Science and Complexity. He is also a field editor for Communications in Mathematics and Statistics. His research interests include biostatistics, empirical likelihood, missing data analysis, variable selection, high-dimensional data analysis, Bayesian statistics, and data science. He has published more than 190 research papers and authored five books.",institutionString:"Yunnan University",institution:{name:"Yunnan University",country:{name:"China"}}},{id:"1177",title:"Prof.",name:"António",middleName:"J. R.",surname:"José Ribeiro Neves",slug:"antonio-jose-ribeiro-neves",fullName:"António José Ribeiro Neves",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/1177/images/system/1177.jpg",biography:"Prof. António J. R. Neves received a Ph.D. in Electrical Engineering from the University of Aveiro, Portugal, in 2007. Since 2002, he has been a researcher at the Institute of Electronics and Informatics Engineering of Aveiro. Since 2007, he has been an assistant professor in the Department of Electronics, Telecommunications, and Informatics, University of Aveiro. He is the director of the undergraduate course on Electrical and Computers Engineering and the vice-director of the master’s degree in Electronics and Telecommunications Engineering. He is an IEEE Senior Member and a member of several other research organizations worldwide. His main research interests are computer vision, intelligent systems, robotics, and image and video processing. He has participated in or coordinated several research projects and received more than thirty-five awards. He has 161 publications to his credit, including books, book chapters, journal articles, and conference papers. He has vast experience as a reviewer of several journals and conferences. As a professor, Dr. Neves has supervised several Ph.D. and master’s students and was involved in more than twenty-five different courses.",institutionString:null,institution:{name:"University of Aveiro",country:{name:"Portugal"}}},{id:"11317",title:"Dr.",name:"Francisco",middleName:null,surname:"Javier Gallegos-Funes",slug:"francisco-javier-gallegos-funes",fullName:"Francisco Javier Gallegos-Funes",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/11317/images/system/11317.png",biography:"Francisco J. Gallegos-Funes received his Ph.D. in Communications and Electronics from the Instituto Politécnico Nacional de México (National Polytechnic Institute of Mexico) in 2003. He is currently an associate professor in the Escuela Superior de Ingeniería Mecánica y Eléctrica (Mechanical and Electrical Engineering Higher School) at the same institute. His areas of scientific interest are signal and image processing, filtering, steganography, segmentation, pattern recognition, biomedical signal processing, sensors, and real-time applications.",institutionString:"Instituto Politécnico Nacional",institution:{name:"Instituto Politécnico Nacional",country:{name:"Mexico"}}},{id:"428449",title:"Dr.",name:"Ronaldo",middleName:null,surname:"Ferreira",slug:"ronaldo-ferreira",fullName:"Ronaldo Ferreira",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/428449/images/21449_n.png",biography:null,institutionString:null,institution:{name:"University of Aveiro",country:{name:"Portugal"}}},{id:"165328",title:"Dr.",name:"Vahid",middleName:null,surname:"Asadpour",slug:"vahid-asadpour",fullName:"Vahid Asadpour",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/165328/images/system/165328.jpg",biography:"Vahid Asadpour, MS, Ph.D., is currently with the Department of Research and Evaluation, Kaiser Permanente Southern California. He has both an MS and Ph.D. in Biomedical Engineering. He was previously a research scientist at the University of California Los Angeles (UCLA) and visiting professor and researcher at the University of North Dakota. He is currently working in artificial intelligence and its applications in medical signal processing. In addition, he is using digital signal processing in medical imaging and speech processing. Dr. Asadpour has developed brain-computer interfacing algorithms and has published books, book chapters, and several journal and conference papers in this field and other areas of intelligent signal processing. He has also designed medical devices, including a laser Doppler monitoring system.",institutionString:"Kaiser Permanente Southern California",institution:null},{id:"169608",title:"Prof.",name:"Marian",middleName:null,surname:"Găiceanu",slug:"marian-gaiceanu",fullName:"Marian Găiceanu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/169608/images/system/169608.png",biography:"Prof. Dr. Marian Gaiceanu graduated from the Naval and Electrical Engineering Faculty, Dunarea de Jos University of Galati, Romania, in 1997. He received a Ph.D. (Magna Cum Laude) in Electrical Engineering in 2002. Since 2017, Dr. Gaiceanu has been a Ph.D. supervisor for students in Electrical Engineering. He has been employed at Dunarea de Jos University of Galati since 1996, where he is currently a professor. Dr. Gaiceanu is a member of the National Council for Attesting Titles, Diplomas and Certificates, an expert of the Executive Agency for Higher Education, Research Funding, and a member of the Senate of the Dunarea de Jos University of Galati. He has been the head of the Integrated Energy Conversion Systems and Advanced Control of Complex Processes Research Center, Romania, since 2016. He has conducted several projects in power converter systems for electrical drives, power quality, PEM and SOFC fuel cell power converters for utilities, electric vehicles, and marine applications with the Department of Regulation and Control, SIEI S.pA. (2002–2004) and the Polytechnic University of Turin, Italy (2002–2004, 2006–2007). He is a member of the Institute of Electrical and Electronics Engineers (IEEE) and cofounder-member of the IEEE Power Electronics Romanian Chapter. He is a guest editor at Energies and an academic book editor for IntechOpen. He is also a member of the editorial boards of the Journal of Electrical Engineering, Electronics, Control and Computer Science and Sustainability. Dr. Gaiceanu has been General Chairman of the IEEE International Symposium on Electrical and Electronics Engineering in the last six editions.",institutionString:'"Dunarea de Jos" University of Galati',institution:{name:'"Dunarea de Jos" University of Galati',country:{name:"Romania"}}},{id:"4519",title:"Prof.",name:"Jaydip",middleName:null,surname:"Sen",slug:"jaydip-sen",fullName:"Jaydip Sen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/4519/images/system/4519.jpeg",biography:"Jaydip Sen is associated with Praxis Business School, Kolkata, India, as a professor in the Department of Data Science. His research areas include security and privacy issues in computing and communication, intrusion detection systems, machine learning, deep learning, and artificial intelligence in the financial domain. He has more than 200 publications in reputed international journals, refereed conference proceedings, and 20 book chapters in books published by internationally renowned publishing houses, such as Springer, CRC press, IGI Global, etc. Currently, he is serving on the editorial board of the prestigious journal Frontiers in Communications and Networks and in the technical program committees of a number of high-ranked international conferences organized by the IEEE, USA, and the ACM, USA. He has been listed among the top 2% of scientists in the world for the last three consecutive years, 2019 to 2021 as per studies conducted by the Stanford University, USA.",institutionString:"Praxis Business School",institution:null},{id:"320071",title:"Dr.",name:"Sidra",middleName:null,surname:"Mehtab",slug:"sidra-mehtab",fullName:"Sidra Mehtab",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00002v6KHoQAM/Profile_Picture_1584512086360",biography:"Sidra Mehtab has completed her BS with honors in Physics from Calcutta University, India in 2018. She has done MS in Data Science and Analytics from Maulana Abul Kalam Azad University of Technology (MAKAUT), Kolkata, India in 2020. Her research areas include Econometrics, Time Series Analysis, Machine Learning, Deep Learning, Artificial Intelligence, and Computer and Network Security with a particular focus on Cyber Security Analytics. Ms. Mehtab has published seven papers in international conferences and one of her papers has been accepted for publication in a reputable international journal. She has won the best paper awards in two prestigious international conferences – BAICONF 2019, and ICADCML 2021, organized in the Indian Institute of Management, Bangalore, India in December 2019, and SOA University, Bhubaneswar, India in January 2021. Besides, Ms. Mehtab has also published two book chapters in two books. Seven of her book chapters will be published in a volume shortly in 2021 by Cambridge Scholars’ Press, UK. Currently, she is working as the joint editor of two edited volumes on Time Series Analysis and Forecasting to be published in the first half of 2021 by an international house. Currently, she is working as a Data Scientist with an MNC in Delhi, India.",institutionString:"NSHM College of Management and Technology",institution:{name:"Association for Computing Machinery",country:{name:"United States of America"}}},{id:"226240",title:"Dr.",name:"Andri Irfan",middleName:null,surname:"Rifai",slug:"andri-irfan-rifai",fullName:"Andri Irfan Rifai",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/226240/images/7412_n.jpg",biography:"Andri IRFAN is a Senior Lecturer of Civil Engineering and Planning. He completed the PhD at the Universitas Indonesia & Universidade do Minho with Sandwich Program Scholarship from the Directorate General of Higher Education and LPDP scholarship. He has been teaching for more than 19 years and much active to applied his knowledge in the project construction in Indonesia. His research interest ranges from pavement management system to advanced data mining techniques for transportation engineering. He has published more than 50 papers in journals and 2 books.",institutionString:null,institution:{name:"Universitas Internasional Batam",country:{name:"Indonesia"}}},{id:"314576",title:"Dr.",name:"Ibai",middleName:null,surname:"Laña",slug:"ibai-lana",fullName:"Ibai Laña",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/314576/images/system/314576.jpg",biography:"Dr. Ibai Laña works at TECNALIA as a data analyst. He received his Ph.D. in Artificial Intelligence from the University of the Basque Country (UPV/EHU), Spain, in 2018. He is currently a senior researcher at TECNALIA. His research interests fall within the intersection of intelligent transportation systems, machine learning, traffic data analysis, and data science. He has dealt with urban traffic forecasting problems, applying machine learning models and evolutionary algorithms. He has experience in origin-destination matrix estimation or point of interest and trajectory detection. Working with large volumes of data has given him a good command of big data processing tools and NoSQL databases. He has also been a visiting scholar at the Knowledge Engineering and Discovery Research Institute, Auckland University of Technology.",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"314575",title:"Dr.",name:"Jesus",middleName:null,surname:"L. Lobo",slug:"jesus-l.-lobo",fullName:"Jesus L. Lobo",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/314575/images/system/314575.png",biography:"Dr. Jesús López is currently based in Bilbao (Spain) working at TECNALIA as Artificial Intelligence Research Scientist. In most cases, a project idea or a new research line needs to be investigated to see if it is good enough to take into production or to focus on it. That is exactly what he does, diving into Machine Learning algorithms and technologies to help TECNALIA to decide whether something is great in theory or will actually impact on the product or processes of its projects. So, he is expert at framing experiments, developing hypotheses, and proving whether they’re true or not, in order to investigate fundamental problems with a longer time horizon. He is also able to design and develop PoCs and system prototypes in simulation. He has participated in several national and internacional R&D projects.\n\nAs another relevant part of his everyday research work, he usually publishes his findings in reputed scientific refereed journals and international conferences, occasionally acting as reviewer and Programme Commitee member. Concretely, since 2018 he has published 9 JCR (8 Q1) journal papers, 9 conference papers (e.g. ECML PKDD 2021), and he has co-edited a book. He is also active in popular science writing data science stories for reputed blogs (KDNuggets, TowardsDataScience, Naukas). Besides, he has recently embarked on mentoring programmes as mentor, and has also worked as data science trainer.",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"103779",title:"Prof.",name:"Yalcin",middleName:null,surname:"Isler",slug:"yalcin-isler",fullName:"Yalcin Isler",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRyQ8QAK/Profile_Picture_1628834958734",biography:"Yalcin Isler (1971 - Burdur / Turkey) received the B.Sc. degree in the Department of Electrical and Electronics Engineering from Anadolu University, Eskisehir, Turkey, in 1993, the M.Sc. degree from the Department of Electronics and Communication Engineering, Suleyman Demirel University, Isparta, Turkey, in 1996, the Ph.D. degree from the Department of Electrical and Electronics Engineering, Dokuz Eylul University, Izmir, Turkey, in 2009, and the Competence of Associate Professorship from the Turkish Interuniversity Council in 2019.\n\nHe was Lecturer at Burdur Vocational School in Suleyman Demirel University (1993-2000, Burdur / Turkey), Software Engineer (2000-2002, Izmir / Turkey), Research Assistant in Bulent Ecevit University (2002-2003, Zonguldak / Turkey), Research Assistant in Dokuz Eylul University (2003-2010, Izmir / Turkey), Assistant Professor at the Department of Electrical and Electronics Engineering in Bulent Ecevit University (2010-2012, Zonguldak / Turkey), Assistant Professor at the Department of Biomedical Engineering in Izmir Katip Celebi University (2012-2019, Izmir / Turkey). He is an Associate Professor at the Department of Biomedical Engineering at Izmir Katip Celebi University, Izmir / Turkey, since 2019. In addition to academics, he has also founded Islerya Medical and Information Technologies Company, Izmir / Turkey, since 2017.\n\nHis main research interests cover biomedical signal processing, pattern recognition, medical device design, programming, and embedded systems. He has many scientific papers and participated in several projects in these study fields. He was an IEEE Student Member (2009-2011) and IEEE Member (2011-2014) and has been IEEE Senior Member since 2014.",institutionString:null,institution:{name:"Izmir Kâtip Çelebi University",country:{name:"Turkey"}}},{id:"339677",title:"Dr.",name:"Mrinmoy",middleName:null,surname:"Roy",slug:"mrinmoy-roy",fullName:"Mrinmoy Roy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/339677/images/16768_n.jpg",biography:"An accomplished Sales & Marketing professional with 12 years of cross-functional experience in well-known organisations such as CIPLA, LUPIN, GLENMARK, ASTRAZENECA across different segment of Sales & Marketing, International Business, Institutional Business, Product Management, Strategic Marketing of HIV, Oncology, Derma, Respiratory, Anti-Diabetic, Nutraceutical & Stomatological Product Portfolio and Generic as well as Chronic Critical Care Portfolio. A First Class MBA in International Business & Strategic Marketing, B.Pharm, D.Pharm, Google Certified Digital Marketing Professional. Qualified PhD Candidate in Operations and Management with special focus on Artificial Intelligence and Machine Learning adoption, analysis and use in Healthcare, Hospital & Pharma Domain. Seasoned with diverse therapy area of Pharmaceutical Sales & Marketing ranging from generating revenue through generating prescriptions, launching new products, and making them big brands with continuous strategy execution at the Physician and Patients level. Moved from Sales to Marketing and Business Development for 3.5 years in South East Asian Market operating from Manila, Philippines. Came back to India and handled and developed Brands such as Gluconorm, Lupisulin, Supracal, Absolut Woman, Hemozink, Fabiflu (For COVID 19), and many more. In my previous assignment I used to develop and execute strategies on Sales & Marketing, Commercialization & Business Development for Institution and Corporate Hospital Business portfolio of Oncology Therapy Area for AstraZeneca Pharma India Ltd. Being a Research Scholar and Student of ‘Operations Research & Management: Artificial Intelligence’ I published several pioneer research papers and book chapters on the same in Internationally reputed journals and Books indexed in Scopus, Springer and Ei Compendex, Google Scholar etc. Currently, I am launching PGDM Pharmaceutical Management Program in IIHMR Bangalore and spearheading the course curriculum and structure of the same. I am interested in Collaboration for Healthcare Innovation, Pharma AI Innovation, Future trend in Marketing and Management with incubation on Healthcare, Healthcare IT startups, AI-ML Modelling and Healthcare Algorithm based training module development. I am also an affiliated member of the Institute of Management Consultant of India, looking forward to Healthcare, Healthcare IT and Innovation, Pharma and Hospital Management Consulting works.",institutionString:null,institution:{name:"Lovely Professional University",country:{name:"India"}}},{id:"1063",title:"Prof.",name:"Constantin",middleName:null,surname:"Volosencu",slug:"constantin-volosencu",fullName:"Constantin Volosencu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/1063/images/system/1063.png",biography:"Prof. Dr. Constantin Voloşencu graduated as an engineer from\nPolitehnica University of Timișoara, Romania, where he also\nobtained a doctorate degree. He is currently a full professor in\nthe Department of Automation and Applied Informatics at the\nsame university. Dr. Voloşencu is the author of ten books, seven\nbook chapters, and more than 160 papers published in journals\nand conference proceedings. He has also edited twelve books and\nhas twenty-seven patents to his name. He is a manager of research grants, editor in\nchief and member of international journal editorial boards, a former plenary speaker, a member of scientific committees, and chair at international conferences. His\nresearch is in the fields of control systems, control of electric drives, fuzzy control\nsystems, neural network applications, fault detection and diagnosis, sensor network\napplications, monitoring of distributed parameter systems, and power ultrasound\napplications. He has developed automation equipment for machine tools, spooling\nmachines, high-power ultrasound processes, and more.",institutionString:'"Politechnica" University Timişoara',institution:null},{id:"221364",title:"Dr.",name:"Eneko",middleName:null,surname:"Osaba",slug:"eneko-osaba",fullName:"Eneko Osaba",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/221364/images/system/221364.jpg",biography:"Dr. Eneko Osaba works at TECNALIA as a senior researcher. He obtained his Ph.D. in Artificial Intelligence in 2015. He has participated in more than twenty-five local and European research projects, and in the publication of more than 130 papers. He has performed several stays at universities in the United Kingdom, Italy, and Malta. Dr. Osaba has served as a program committee member in more than forty international conferences and participated in organizing activities in more than ten international conferences. 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Her areas of interest and knowledge include natural language processing (NLP), detection of impersonation in social networks, semantic web, and machine learning. Dr. Esther Villar made several contributions at conferences and publishing in various journals in those fields. 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He is currently a principal researcher in data analytics and optimisation at TECNALIA (Spain), a visiting fellow at the Basque Center for Applied Mathematics (BCAM) and a part-time lecturer at the University of the Basque Country (UPV/EHU). His research interests gravitate on the use of descriptive, prescriptive and predictive algorithms for data mining and optimization in a diverse range of application fields such as Energy, Transport, Telecommunications, Health and Industry, among others. In these fields he has published more than 240 articles, co-supervised 8 Ph.D. theses, edited 6 books, coauthored 7 patents and participated/led more than 40 research projects. He is a Senior Member of the IEEE, and a recipient of the Biscay Talent prize for his academic career.",institutionString:"Tecnalia Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"278948",title:"Dr.",name:"Carlos Pedro",middleName:null,surname:"Gonçalves",slug:"carlos-pedro-goncalves",fullName:"Carlos Pedro Gonçalves",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRcmyQAC/Profile_Picture_1564224512145",biography:'Carlos Pedro Gonçalves (PhD) is an Associate Professor at Lusophone University of Humanities and Technologies and a researcher on Complexity Sciences, Quantum Technologies, Artificial Intelligence, Strategic Studies, Studies in Intelligence and Security, FinTech and Financial Risk Modeling. He is also a progammer with programming experience in:\n\nA) Quantum Computing using Qiskit Python module and IBM Quantum Experience Platform, with software developed on the simulation of Quantum Artificial Neural Networks and Quantum Cybersecurity;\n\nB) Artificial Intelligence and Machine learning programming in Python;\n\nC) Artificial Intelligence, Multiagent Systems Modeling and System Dynamics Modeling in Netlogo, with models developed in the areas of Chaos Theory, Econophysics, Artificial Intelligence, Classical and Quantum Complex Systems Science, with the Econophysics models having been cited worldwide and incorporated in PhD programs by different Universities.\n\nReceived an Arctic Code Vault Contributor status by GitHub, due to having developed open source software preserved in the \\"Arctic Code Vault\\" for future generations (https://archiveprogram.github.com/arctic-vault/), with the Strategy Analyzer A.I. module for decision making support (based on his PhD thesis, used in his Classes on Decision Making and in Strategic Intelligence Consulting Activities) and QNeural Python Quantum Neural Network simulator also preserved in the \\"Arctic Code Vault\\", for access to these software modules see: https://github.com/cpgoncalves. He is also a peer reviewer with outsanding review status from Elsevier journals, including Physica A, Neurocomputing and Engineering Applications of Artificial Intelligence. Science CV available at: https://www.cienciavitae.pt//pt/8E1C-A8B3-78C5 and ORCID: https://orcid.org/0000-0002-0298-3974',institutionString:"University of Lisbon",institution:{name:"Universidade Lusófona",country:{name:"Portugal"}}},{id:"310576",title:"Prof.",name:"Erick Giovani",middleName:null,surname:"Sperandio Nascimento",slug:"erick-giovani-sperandio-nascimento",fullName:"Erick Giovani Sperandio Nascimento",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0033Y00002pDKxDQAW/ProfilePicture%202022-06-20%2019%3A57%3A24.788",biography:"Prof. Erick Sperandio is the Lead Researcher and professor of Artificial Intelligence (AI) at SENAI CIMATEC, Bahia, Brazil, also working with Computational Modeling (CM) and HPC. He holds a PhD in Environmental Engineering in the area of Atmospheric Computational Modeling, a Master in Informatics in the field of Computational Intelligence and Graduated in Computer Science from UFES. He currently coordinates, leads and participates in R&D projects in the areas of AI, computational modeling and supercomputing applied to different areas such as Oil and Gas, Health, Advanced Manufacturing, Renewable Energies and Atmospheric Sciences, advising undergraduate, master's and doctoral students. He is the Lead Researcher at SENAI CIMATEC's Reference Center on Artificial Intelligence. In addition, he is a Certified Instructor and University Ambassador of the NVIDIA Deep Learning Institute (DLI) in the areas of Deep Learning, Computer Vision, Natural Language Processing and Recommender Systems, and Principal Investigator of the NVIDIA/CIMATEC AI Joint Lab, the first in Latin America within the NVIDIA AI Technology Center (NVAITC) worldwide program. 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Currently working as an Assistant Professor in the Department of Mathematics, Institute of Applied Science, Mangalayatan University, Aligarh. She taught so many courses of Mathematics of UG and PG level. Her research Area of Expertise is Functional Analysis & Sequence Spaces. She has been working on Ideal Convergence of double sequence. She has published 17 research papers in National and International Journals including Cogent Mathematics, Filomat, Journal of Intelligent and Fuzzy Systems, Advances in Difference Equations, Journal of Mathematical Analysis, Journal of Mathematical & Computer Science etc. She has also reviewed few research papers for the and international journals. 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